Aff Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075416 Issued in NY

Legal business name

AFF PSYCHOTHERAPY

Practice address

1953 Richmond Ter
Staten Island, NY 10302-1201

Phone

(347) 320-6420

Fax

(347) 413-8836

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Delsa Fauconier, LCSW-R

Title

Director

Phone

(347) 771-4128

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jermaine K Hill, LMSW

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1366739641
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1043554769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 RICHMOND TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021201",
            "telephone_number": "347-320-6420",
            "fax_number": "347-413-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 RICHMOND TER",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021201",
            "telephone_number": "347-320-6420",
            "fax_number": "347-413-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFF PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "FAUCONIER",
        "authorized_official_first_name": "DELSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-771-4128",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Surgical Arts Facility
• Advantagecare Physicians PC
• Aesthetic Pavilion Ambulatory Surgery Center LLC
• Af Physical Therapy, PC
• Olga Afanaseva
• Affective LCSW Services PLLC
• Joseph Michael Afflitto
• Marie Afflitto
• Krystelle Afif, AGACNP-BC
• Olubukola Victoria Afolabi, MSED

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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 Nov 19, 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.

Verify at the official NPI Registry.