Organization Active NPI

College Point Wellness, LCSW, P.C.

Doing business as College Point Counseling Center

  • Clinical Social Worker
  • College Point, NY
National Provider Identifier
1053481556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070922 Issued in NY
Legal business name
COLLEGE POINT WELLNESS, LCSW, P.C.
Doing business as
College Point Counseling Center
Practice address
1814 College Point Blvd
College Point, NY 11356-2241
Phone
(347) 804-8277
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Giulia Martina Trojer, LCSWNPI 1902970049
Title
President , Clinical Director
Phone
(347) 804-8277

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070922 NY Primary

Addresses

Primary practice location

1814 College Point Blvd
College Point, NY 11356-2241

Mailing address

PO Box 560021
College Point, NY 11356-0021
Phone (347) 804-8277

Other names 1

  • College Point Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000307 NY Part B Supplier - Clinic/Group Practice 1456536739 Receives reassigned benefits from 1 practitioner
Practice locations: College Point, NY

National Provider Directory

National Provider Directory

Locations

12207 20th Ave
College Point, NY 11356
Phone (347) 804-8277

1814 College Point Blvd
Ste 2
College Point, NY 11356
Phone (347) 583-0974

1814 College Point Blvd
Flushing, NY 11356
Phone (347) 804-8277

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053481556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560021",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113560021",
            "telephone_number": "347-804-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 COLLEGE POINT BLVD",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562241",
            "telephone_number": "347-804-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE POINT WELLNESS, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROJER",
        "authorized_official_first_name": "GIULIA",
        "authorized_official_middle_name": "MARTINA",
        "authorized_official_title_or_position": "PRESIDENT , CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "347-804-8277",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Point Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.