Sybil Nurse-Reeves LCSW Counseling Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R045601-1 Issued in NY

Legal business name

SYBIL NURSE-REEVES LCSW COUNSELING SERVICES, PLLC

Practice address

13130 Merrick Blvd
Jamaica, NY 11434-4134

Phone

(718) 233-2556

Fax

(718) 233-2569

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sybil Nurse-Reeves, LCSWNPI 1992915763

Title

Owner

Phone

(718) 233-2556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Sybil Durina Nurse-Reeves, LCSW-R

  • Clinical Social Worker
  • Fresh Meadows, NY
  • NPI 1992915763
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1033634050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13130 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344134",
            "telephone_number": "718-233-2556",
            "fax_number": "718-233-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13130 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344134",
            "telephone_number": "718-233-2556",
            "fax_number": "718-233-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYBIL NURSE-REEVES LCSW COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "NURSE-REEVES",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-233-2556",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045601-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.