Organization Active NPI

Soulful Horizon LCSW, PLLC

  • Clinical Social Worker
  • Rosedale, NY
National Provider Identifier
1134913445
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULFUL HORIZON LCSW, PLLC
Practice address
13729 233Rd St
Rosedale, NY 11422-1725
Phone
(929) 900-3880
NPI assigned
Apr 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Emmanuelle Lajeunesse, LCSWNPI 1033592332
Title
Owner
Phone
(929) 900-3880

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

13729 233Rd St
Rosedale, NY 11422-1725

Mailing address

418 Broadway # 6377
Albany, NY 12207-2922

National Provider Directory

National Provider Directory

Locations

418 Broadway
#6377
Albany, NY 12207
Phone (929) 900-3880

Practitioners & affiliated clinicians

Practitioners 1

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": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1134913445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY # 6377",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13729 233RD ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221725",
            "telephone_number": "929-900-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL HORIZON LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "LAJEUNESSE",
        "authorized_official_first_name": "EMMANUELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-900-3880",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.