St George Counseling Services LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ST GEORGE COUNSELING SERVICES LCSW PLLC

Practice address

120 Stuyvesant PL Ste 423
Staten Island, NY 10301-1989

Phone

(718) 447-7422

Fax

(718) 447-7421

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Patricia Ann Thompson, LCSWRNPI 1700020443

Title

President/Clinical Director

Phone

(718) 447-7422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Patricia Ann Thompson, LCSW

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1700020443
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1134846207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10980",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103010980",
            "telephone_number": "718-447-7422",
            "fax_number": "718-447-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STUYVESANT PL STE 423",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011989",
            "telephone_number": "718-447-7422",
            "fax_number": "718-447-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE COUNSELING SERVICES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "718-447-7422",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Squitieri, M.A.
• Angela Anushini Sriskanda
• Nicole Sriskanda, CHT
• Saroj Srivastava
• St Dental
• St George Pharmacy Inc
• St George Pharmacy Inc
• St Josephs Physical Therapy PC
• St Kyrollos Physical Therapy PC
• Margaret-Ann Valerie St Louis, RN

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.

Verify at the official NPI Registry.