NPIMap

Organization Active NPI

Hope for Healing Licensed Clinical Social Work PC

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1134674385
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082388-1 Issued in NY
Legal business name
HOPE FOR HEALING LICENSED CLINICAL SOCIAL WORK PC
Practice address
421 New Karner Rd
Suite 2
Albany, NY 12205-3861
Phone
(518) 441-5660
Fax
(518) 689-6869
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Mary-Jane Quick
Title
Billing/Credentialing Manager
Phone
(518) 384-1517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 082388-1 NY Primary

Addresses

Primary practice location

421 New Karner Rd
Suite 2
Albany, NY 12205-3861

Mailing address

104A Heckeler Dr
Glenville, NY 12302-5313
Phone (518) 384-1517

National Provider Directory

National Provider Directory

Locations

421 New Karner Rd
Ste 2
Albany, NY 12205
Phone (518) 441-5660

104A Heckeler Dr
Glenville, NY 12302

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": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1134674385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104A HECKELER DR",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025313",
            "telephone_number": "518-384-1517",
            "fax_number": "518-384-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NEW KARNER RD",
            "address_2": "SUITE 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053861",
            "telephone_number": "518-441-5660",
            "fax_number": "518-689-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FOR HEALING LICENSED CLINICAL SOCIAL WORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "MARY-JANE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "518-384-1517"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082388-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.