PLAYDATE LMSW SOCIAL WORK PLLC (NPI# 1780838060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780838060 |
| Entity Type | Organization |
| Organization Name | PLAYDATE LMSW SOCIAL WORK PLLC |
| Practice Address |
208 W 119th St Suite 3r New York NY 10026-1209 |
| Practice Telephone | 9178633780 |
| Practice Fax Number | 6465967791 |
| Mailing Telephone | 9178633780 |
| Mailing Fax Number | 6465967791 |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | MS. OLIVIA J NELSON (SOLE MBR) |
| Authorized Official Telephone | 9178633780 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
061668-1 | NY | Ambulatory Health Care Facilities |
| Street Address |
208 W 119TH ST SUITE 3R |
| City | NEW YORK |
| State | NY |
| Zip Code | 10026-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104079227 | Carolyn Heyward | Licensed Practical Nurse | 208 W 119th St, New York, NY 10026-1209 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538704663 | Glenda Murdaugh | Social Worker | 130 Lenox Avenue, Apt. 613, New York, NY 10026 | 2019-11-13 |
| 1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
| 1013423391 | Herman L Jackson | Physical Therapy Assistant | Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 | 2017-12-21 |
| 1497264915 | Yudith O. Mahon | Registered Nurse | 110 West 114th Street Apt. 1b, New York, NY 10026 | 2017-09-27 |
| 1124546254 | Carmen Raina Abagail Lalonde | Psychologist | 155 West 72nd Street, Suite 505, Manhattan, NY 10026 | 2017-09-09 |
| 1972053387 | Crate | Community/Behavioral Health | 73 Lenox Avenue, New York, NY 10026 | 2016-10-10 |
| 1770931875 | Wendy P Nick | Speech-Language Pathologist | 240 W 113th St, New York, NY 10026 | 2016-05-30 |
| 1720464209 | Barbara D. Leese | Social Worker | 305 W 118th St, New York, NY 10026 | 2015-08-06 |
| 1982091880 | Philip Miller I | Counselor | 121 West 111th Street, New York, NY 10026 | 2015-04-20 |
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
| Find all providers in zip 10026 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893115 | Samantha Ashley Berg | Clinic/Center | 635 165 Street, Promise Program 6th Floor, New York, NY 10032 | 2013-07-10 |
| 1013112358 | Icd International Center for The Disabled | Clinic/Center | 421 E 106th St, New York, NY 10029-4846 | 2007-06-18 |
| 1093736696 | Bethany Novak | Clinic/Center | 312 E 94th St, New York, NY 10128-5604 | 2006-07-21 |
| 1578164331 | Meredith Weiss, Md | Clinic/Center | 111 E 80th St Apt 1d, New York, NY 10075-0350 | 2020-11-06 |
| 1205443066 | Dr. Melita Psychological Services, Pllc | Clinic/Center | 515 Madison Ave Fl 21, New York, NY 10022-5433 | 2020-09-25 |
| 1558894253 | Mount Sinai Medical Center | Clinic/Center | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2017-04-10 |
| 1073901260 | Wendy Olesker Ph.d P.C. | Clinic/Center | 15 W 72nd St, New York, NY 10023 | 2014-12-23 |
| 1891034617 | Stephanie Fagin-jones Phd Clinical Psychologist PC | Clinic/Center | 210 W 70th St, 201, New York, NY 10023-4304 | 2013-02-14 |
| 1386884732 | Center for Living | Clinic/Center | 226 E 52nd St, New York, NY 10022-6201 | 2009-02-25 |
| 1386816726 | Angela Rivera | Clinic/Center | 320 E 94th St, New York, NY 10128-5604 | 2008-03-26 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.