GRISSELLE VEGA EUSTACHE


Address: 21 Norfeld Blvd, Elmont, NY 11003-3616
Phone: 5164375902

GRISSELLE VEGA EUSTACHE (NPI# 1821361676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821361676
Entity Type Individual
Full Name GRISSELLE VEGA EUSTACHE
Credential LCSW
Practice Address 21 Norfeld Blvd
Elmont
NY 11003-3616
Practice Telephone 5164375902
Mailing Telephone 5164375902
Enumeration Date 2012-02-09
Last Update Date 2014-02-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 075838-1 NY Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
079881 NY Behavioral Health & Social Service Providers

Office Location

Street Address 21 NORFELD BLVD
City ELMONT
State NY
Zip Code 11003-3616

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1215395819 Dominique Schlosser Licensed Practical Nurse 72 Element Ave, Elmont, NY 11003 2016-02-10
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114527934 Mindful Proverbs Consultation Lcsw, Pllc Social Worker 119 Hoffman Ave, Elmont, NY 11003-2905 2020-10-30
1467007039 Yolanda Ellis-butler Social Worker 39 Amethyst St, Elmont, NY 11003-3601 2019-08-09
1497211817 Lavona Cassimy Social Worker 438 Oakley Ave, Elmont, NY 11003-3239 2019-02-11
1336614585 Frieda Roseanna Omezi Social Worker 176 Rockmart Ave # Pvh, Elmont, NY 11003-1732 2018-10-03
1588093702 Michelle Eubanks-reshard Social Worker 89 Queens Ave, Elmont, NY 11003-4338 2013-11-07
1194037747 Rajeev Singh Social Worker 1483 Marshall St, Elmont, NY 11003-1331 2010-07-12
1861671497 Nancy J Ryan Social Worker 40 Elmont Rd, Elmont, NY 11003-1603 2007-10-31
1033305099 Kelley Renae Hodgesharrell Social Worker 28 Opal St, Elmont, NY 11003-4305 2007-09-23
1295890580 Magaly Polo Social Worker 117 Belmont Ave, Elmont, NY 11003-2946 2006-12-27
1063599611 Hurguens A Jasmin Social Worker 269 S King St, Elmont, NY 11003-4234 2006-11-01
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Competitor

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City ELMONT
Zip Code 11003

Improve Information

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Dataset Information

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.

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