NPIMap

Organization Active NPI

Hyacinth LCSW Services P.C.

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1124626692
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HYACINTH LCSW SERVICES P.C.
Practice address
222 N Broadway Apt 5C
Yonkers, NY 10701-2617
Phone
(917) 561-6321
NPI assigned
Oct 15, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Ms. Patricia Antionette Gray, ED.D., LCSWNPI 1134423403
Title
Owner
Phone
(917) 561-6321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

222 N Broadway Apt 5C
Yonkers, NY 10701-2617

Mailing address

222 N Broadway Apt 5C
Yonkers, NY 10701-2617
Phone (917) 561-6321

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Yonkers

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1124626692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N BROADWAY APT 5C",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012617",
            "telephone_number": "917-561-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N BROADWAY APT 5C",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012617",
            "telephone_number": "917-561-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYACINTH LCSW SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-561-6321",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ED.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Yonkers",
            "affiliation": "N",
            "address_1": "222 N Broadway Apt 5C",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107012617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.