NPIMap

Organization Active NPI

Village Psychotherapy LCSW LLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1134596232
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077332 Issued in NY
Legal business name
VILLAGE PSYCHOTHERAPY LCSW LLC
Practice address
156 5TH Ave Ste 1223
New York, NY 10010-7735
Phone
(646) 661-4055
Fax
(252) 377-4231
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Erika M Cooley, LCSW
Title
Owner
Phone
(646) 661-4055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 077332 NY Primary

Addresses

Primary practice location

156 5TH Ave Ste 1223
New York, NY 10010-7735

Mailing address

156 5TH Ave Ste 1223
New York, NY 10010-7735
Phone (646) 661-4055

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1134596232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 5TH AVE STE 1223",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107735",
            "telephone_number": "646-661-4055",
            "fax_number": "252-377-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 5TH AVE STE 1223",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107735",
            "telephone_number": "646-661-4055",
            "fax_number": "252-377-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PSYCHOTHERAPY LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-661-4055",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.