Active NPI
Tricia Stephens LCSW-R PLLC
- Adult Mental Health Clinic/Center
- New York, NY
National Provider Identifier
1003169574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- R074923
- Legal business name
- TRICIA STEPHENS LCSW-R PLLC
- Practice address
- 130 5TH Ave
Suite 900
New York, NY 10011-4306 - Phone
- (212) 947-7111
- NPI assigned
- Oct 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tricia Stephens, LCSW-R
- Title
- President
- Phone
- (347) 693-5284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | R074923 | NY | Primary |
Addresses
Primary practice location
130 5TH Ave
Suite 900
New York, NY 10011-4306
Mailing address
306 Gold St
29C
Brooklyn, NY 11201-3014
Other names 1
- The HEART Collaboration
National Provider Directory
National Provider Directory- Tax ID family
- The Heart Collaboration
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1578999280
Locations
130 5th Ave
Ste 900
New York, NY 10011
Phone (212) 591-0208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350864000000",
"number": "1003169574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 GOLD ST",
"address_2": "29C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 5TH AVE",
"address_2": "SUITE 900",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100114306",
"telephone_number": "212-947-7111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRICIA STEPHENS LCSW-R PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-693-5284",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NY",
"license": "R074923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The HEART Collaboration",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.