LISETTE CEPEDA (NPI# 1790153021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790153021 |
| Entity Type | Individual |
| Full Name | LISETTE CEPEDA |
| Credential | LMSW |
| Practice Address |
50 W Hawthorne Ave # 3 Valley Stream NY 11580-6220 |
| Mailing Address |
13 Marlboro Dr Port Jefferson Station NY 11776-3314 |
| Practice Telephone | 5165696600 |
| Mailing Telephone | (631) 346-1424 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2017-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 093350-1 | NY | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
093350-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
50 W HAWTHORNE AVE # 3 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727433 | Susan E Fishel | Social Worker | 50 W Hawthorne Ave # 3, Valley Stream, NY 11580-6220 | 2017-08-24 |
| 1508313263 | Melody Clemons-smith | Social Worker | 50 W Hawthorne Ave # 3, Valley Stream, NY 11580-6220 | 2016-09-09 |
| 1467909416 | Melody Monique Clemons-smith | Community/Behavioral Health | 50 W Hawthorne Ave # 3, Valley Stream, NY 11580-6220 | 2016-09-07 |
| 1558736231 | Yvette M Davis | Social Worker | 50 W Hawthorne Ave # 3, Valley Stream, NY 11580-6220 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932372 | Shaquan Robinson | Social Worker | 118 Roeckel Ave, Valley Stream, NY 11580-3504 | 2020-11-04 |
| 1679189740 | Jitinder K Walia | Social Worker | 416 Rockaway Pkwy, Valley Stream, NY 11580-2625 | 2020-09-23 |
| 1992337489 | Chad Jaggon | Social Worker | 852 W Gate, Valley Stream, NY 11580-1553 | 2020-02-12 |
| 1891359238 | Tania Jones-michael | Social Worker | 41 Saddle Rock Rd, Valley Stream, NY 11581-2517 | 2019-04-30 |
| 1588135685 | Leonie Ulysse | Social Worker | 112 Sobro Ave, Valley Stream, NY 11580-2323 | 2018-12-16 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1952898496 | Judd Groden | Social Worker | 50 W Hawthorne Ave Fl 2, Valley Stream, NY 11580-6220 | 2018-04-19 |
| 1518464510 | Gina Horsford | Social Worker | 36 Emerson Pl, Valley Stream, NY 11580-4605 | 2018-04-07 |
| 1831618461 | Regine Delcarmel Petigny | Social Worker | 104 N Terrace Pl, Valley Stream, NY 11580-3714 | 2017-09-14 |
| 1962926105 | Kevin Taylor | Social Worker | 50 West Hawthorne Ave, Valley Stream, NY 11580 | 2017-07-31 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on LISETTE CEPEDA.
| 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.