G Jefferson Counseling SVCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074578 Issued in NY

Legal business name

G JEFFERSON COUNSELING SVCS

Practice address

32 Court St
Suite 904
Brooklyn, NY 11201-4421

Phone

(347) 435-0832

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Gena C Jefferson, LCSW, INTERFAITH MIN

Title

Psychotherapist, Life Coach,

Phone

(347) 435-0832

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1053687855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 CLEVELAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084402",
            "telephone_number": "347-435-0832",
            "fax_number": "347-435-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COURT ST",
            "address_2": "SUITE 904",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014421",
            "telephone_number": "347-435-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G JEFFERSON COUNSELING SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "GENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST, LIFE COACH,",
        "authorized_official_telephone_number": "347-435-0832",
        "authorized_official_credential": "LCSW, INTERFAITH MIN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 4, 2014; 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.