NPIMap

Organization Active NPI

Park Slope Creative Center

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1043562705
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074666 Issued in NY
Legal business name
PARK SLOPE CREATIVE CENTER
Practice address
355 5TH St
Brooklyn, NY 11215-2806
Phone
(917) 941-2652
NPI assigned
Oct 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Marygrace Berberian, ATR-BC, LCSW, LCATNPI 1881460541
Title
President
Phone
(917) 941-2652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 074666 NY Primary
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X 000302 NY

Addresses

Primary practice location

355 5TH St
Brooklyn, NY 11215-2806

Mailing address

20 Kings Mill Rd
Monroe, NJ 08831-8902

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1043562705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KINGS MILL RD",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088318902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152806",
            "telephone_number": "917-941-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SLOPE CREATIVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "BERBERIAN",
        "authorized_official_first_name": "MARYGRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-941-2652",
        "authorized_official_credential": "ATR-BC, LCSW, LCAT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074666",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.