Individual and Family Social Work Couseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INDIVIDUAL AND FAMILY SOCIAL WORK COUSELING

Doing business as

Kingsboro Psychiatric Center (Canarsie OPD Clinic)

Practice address

180 Lenox Rd
Suite 1a
Brooklyn, NY 11226-2486

Phone

(718) 703-2027

Fax

(718) 940-0054

NPI assigned

Jan 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Deon M Weise, MSWNPI 1346797032

Title

Mental Health Social Worker

Phone

(718) 703-2027

Specialties & licenses 1

Addresses

Other names 1

• Kingsboro Psychiatric Center (Canarsie OPD Clinic) Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deon M Weise, LMSW

  • Social Worker
  • Brooklyn, NY
  • NPI 1346797032
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1033356324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 LENOX RD",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262486",
            "telephone_number": "718-703-2027",
            "fax_number": "718-940-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 LENOX RD",
            "address_2": "SUITE 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262486",
            "telephone_number": "718-703-2027",
            "fax_number": "718-940-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL AND FAMILY SOCIAL WORK COUSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "WEISE",
        "authorized_official_first_name": "DEON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MENTAL HEALTH SOCIAL WORKER",
        "authorized_official_telephone_number": "718-703-2027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsboro Psychiatric Center (Canarsie OPD Clinic)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Indich, CPNP
• Michael Indig
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• Indigo Planet Inc.
• Individual
• Individual Path, LLC
• Individual Provider
• Industry Drugs, LLC
• Inesa Katnov SLP PC
• Niki Infante

• Community/Behavioral Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.