Organization Active NPI

Counseling Space, LCSW P.C.

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1124411061
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076422 Issued in NY
Legal business name
COUNSELING SPACE, LCSW P.C.
Practice address
7050 Austin St
113 Lower Level
Forest Hills, NY 11375-4737
Phone
(917) 572-0013
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Ms. Leslie M. Garcia, LCSW
Title
President/Social Worker
Phone
(917) 572-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 076422 NY Primary

Addresses

Primary practice location

7050 Austin St
113 Lower Level
Forest Hills, NY 11375-4737

Mailing address

3533 98TH St
Corona, NY 11368-1860
Phone (917) 572-0013

Other names 1

  • Leslie M. Garcia, LCSW Other name

National Provider Directory

National Provider Directory

Locations

7050 Austin St
Ste 113
Forest Hills, NY 11375
Phone (347) 445-0543

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1124411061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 98TH ST",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681860",
            "telephone_number": "917-572-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 AUSTIN ST",
            "address_2": "113 LOWER LEVEL",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754737",
            "telephone_number": "917-572-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SPACE, LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT/SOCIAL WORKER",
        "authorized_official_telephone_number": "917-572-0013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie M. Garcia, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.