Active NPI
Mindful Proverbs Consultation LCSW, PLLC
- Clinical Social Worker
- Elmont, NY
National Provider Identifier
1114527934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDFUL PROVERBS CONSULTATION LCSW, PLLC
- Doing business as
- Mindful Proverbs Consultation LCSW, PLLC
- Practice address
- 119 Hoffman Ave
Elmont, NY 11003-2905 - Phone
- (718) 514-4298
- NPI assigned
- Oct 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Angela Delmadge, LCSW
- Title
- Owner
- Phone
- (718) 514-4298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
119 Hoffman Ave
Elmont, NY 11003-2905
Mailing address
119 Hoffman Ave
Elmont, NY 11003-2905
Phone (718) 514-4298
Other names 1
- Mindful Proverbs Consultation LCSW, PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604016000000",
"number": "1114527934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 HOFFMAN AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032905",
"telephone_number": "718-514-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 HOFFMAN AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032905",
"telephone_number": "718-514-4298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL PROVERBS CONSULTATION LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A",
"authorized_official_last_name": "DELMADGE",
"authorized_official_first_name": "LATOYA",
"authorized_official_middle_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-514-4298",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mindful Proverbs Consultation LCSW, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.