Active NPI
Divine Counseling and Wellness Inc
- Clinical Social Worker
- Newburgh, NY
National Provider Identifier
1124574991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0798201
- Legal business name
- DIVINE COUNSELING AND WELLNESS INC
- Practice address
- 5020 Route 9W
Suite 104
Newburgh, NY 12550-7900 - Phone
- (845) 237-2862
- NPI assigned
- Aug 31, 2016
- 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
- Tricia A Holness, LCSW
- Title
- Therapist
- Phone
- (845) 476-6613
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0798201 | NY | Primary |
Addresses
Primary practice location
5020 Route 9W
Suite 104
Newburgh, NY 12550-7900
Mailing address
301 Balsam Dr
New Windsor, NY 12553-4755
Phone (845) 476-6613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5020 Route 9W
Ste 104
Newburgh, NY 12550
Phone (845) 237-2862
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New Windsor, NY
- NPI 1336483031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543363200000",
"number": "1124574991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BALSAM DR",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125534755",
"telephone_number": "845-476-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 ROUTE 9W",
"address_2": "SUITE 104",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125507900",
"telephone_number": "845-237-2862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE COUNSELING AND WELLNESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2018-11-28",
"status": "A",
"authorized_official_last_name": "HOLNESS",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "845-476-6613",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0798201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.