Essential Counseling Wellness LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ESSENTIAL COUNSELING WELLNESS LCSW PLLC

Practice address

99 Wall St Ste 580
New York, NY 10005-4301

Phone

(917) 405-6352

Fax

(646) 767-0539

NPI assigned

Oct 2, 2019

Organization subpart

No

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

Authorized official

Name

Keith Douglas Blackburn, LCSW-R

Title

Ceo/Therapist

Phone

(347) 460-1305

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Semyon Makagon

  • Social Worker
  • Brooklyn, NY
  • NPI 1124755673
  NPD
• Richard Alan Ward

  • Social Worker
  • Brooklyn, NY
  • NPI 1033707278
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1063053916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 5TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 580",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "917-405-6352",
            "fax_number": "646-767-0539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "583 5th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153503",
            "country_code": "US",
            "telephone_number": "347-460-1305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESSENTIAL COUNSELING WELLNESS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "347-460-1305",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esse Integrated Reproductive Wellness PLLC
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• Essen Medical Associates, PC
• Essencare LLC
• Essentia Psicologica Psychology Services, P.C.
• Essential Wellness Acupuncture
• Essentialyze Healthcare, LLC
• Katherine Esser
• Danielle Nicole Esses
• Gary Esses

• Clinical Social Worker in New York, NY
• Providers in New York, 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, 2022; 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.