Organization Active NPI

Latino Support LCSW, P.C

  • Community/Behavioral Health Agency
  • Woodside, NY
National Provider Identifier
1083967970
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
079970 Issued in NY
Legal business name
LATINO SUPPORT LCSW, P.C
Practice address
4322 50 Street
Suite 2C
Woodside, NY 11377
Phone
(718) 505-1531
Fax
(347) 808-9871
NPI assigned
Oct 17, 2012
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Mrs. Maria T. Schreiber, LCSW-RNPI 1144368952
Title
Owner/Ceo
Phone
(718) 505-1531

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
Community/Behavioral Health Agency 251S00000X 079970 NY Primary

Addresses

Primary practice location

4322 50 Street
Suite 2C
Woodside, NY 11377

Mailing address

P.O. Box 630333
Little Neck, NY 11363
Phone (718) 505-1531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160129001424 NY Part B Supplier - Clinic/Group Practice 0143523894 Receives reassigned benefits from 4 practitioners
Practice locations: Woodside, NY

National Provider Directory

National Provider Directory

Locations

4045 75th St
#2
Elmhurst, NY 11373
Phone (646) 504-6360

4045 75th St
#3
Elmhurst, NY 11373
Phone (718) 505-1531

Practitioners & affiliated clinicians

Practitioners 7

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": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1083967970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 630333",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11363",
            "telephone_number": "718-505-1531",
            "fax_number": "347-808-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 50 STREET",
            "address_2": "SUITE 2C",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-505-1531",
            "fax_number": "347-808-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO SUPPORT LCSW, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "718-505-1531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "079970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.