Organization Active NPI

Integral Enrichment Services

  • Clinical Social Worker
  • Freeport, NY
National Provider Identifier
1043469380
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTEGRAL ENRICHMENT SERVICES
Practice address
72 Guy Lombardo Ave
Suite # 2
Freeport, NY 11520-3742
Phone
(516) 623-2162
Fax
(631) 888-0431
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mrs. Priska Imberti, LCSW
Title
Owner
Phone
(516) 623-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

72 Guy Lombardo Ave
Suite # 2
Freeport, NY 11520-3742

Mailing address

72 Guy Lombardo Ave
Suite # 2
Freeport, NY 11520-3742
Phone (516) 623-2162

National Provider Directory

National Provider Directory

Locations

72 Guy Lombardo Ave
Ste 2
Freeport, NY 11520
Phone (516) 226-3615

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1043469380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 GUY LOMBARDO AVE",
            "address_2": "SUITE # 2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203742",
            "telephone_number": "516-623-2162",
            "fax_number": "631-888-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GUY LOMBARDO AVE",
            "address_2": "SUITE # 2",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203742",
            "telephone_number": "516-623-2162",
            "fax_number": "631-888-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL ENRICHMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "IMBERTI",
        "authorized_official_first_name": "PRISKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-623-2162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.