Colonial Youth and Family Services Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083045 Issued in NY

Legal business name

COLONIAL YOUTH AND FAMILY SERVICES INC.

Practice address

346 Montauk Hwy Ste 1a
Moriches, NY 11955

Phone

(631) 281-4461

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lynda Zach

Title

Executive Director

Phone

(631) 281-4461

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1043491665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "11951",
            "telephone_number": "631-281-4461",
            "fax_number": "631-281-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MONTAUK HWY STE 1A",
            "city": "MORICHES",
            "state": "NY",
            "postal_code": "11955",
            "telephone_number": "631-281-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Coraci Blvd. Suite 17",
            "address_purpose": "LOCATION",
            "city": "Shirley",
            "state": "NY",
            "postal_code": "11967",
            "country_code": "US",
            "telephone_number": "631-281-4461",
            "fax_number": "631-281-4258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLONIAL YOUTH AND FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "ZACH",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-281-4461",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083045",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01069570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Michelle Baker, D.D.S.
• Jeremy Beck
• Jordan Biscardi, L.AC.
• Renee Carrick
• Lindsay Ciccone
• Annalese Coogan, LCSW
• Caron Corwin, LMT
• Amanda T L Delarosa, LPN
• Chelsea Delia
• Anthony F Delio, DDS

• Clinical Social Worker in Moriches, NY
• Providers in Moriches, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.