St. George Community Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075589 Issued in NY

Legal business name

ST. GEORGE COMMUNITY COUNSELING SERVICES

Practice address

120 Stuyvesant PL
Staten Island, NY 10301-1989

Phone

(718) 447-7422

Fax

(718) 447-7421

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Ann Thompson, LCSW-RNPI 1700020443

Title

Ceo

Phone

(718) 447-7422

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.

• Patricia Ann Thompson, LCSW

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1700020443
  NPD (past) Authorized official

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1073937314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STUYVESANT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011989",
            "telephone_number": "718-447-7422",
            "fax_number": "718-447-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STUYVESANT PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011989",
            "telephone_number": "718-447-7422",
            "fax_number": "718-447-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE COMMUNITY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-447-7422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 6, 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.