NPIMap

Organization Active NPI

Discoveries Therapy LCSW, P.C.

  • Clinical Social Worker
  • Patchogue, NY
National Provider Identifier
1184922460
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075160 Issued in NY
Legal business name
DISCOVERIES THERAPY LCSW, P.C.
Practice address
124 RT. 112
Ste. C
Patchogue, NY 11772-1232
Phone
(631) 714-5123
Fax
(631) 714-5124
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
DISCOVERIES THERAPY LCSW, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Ms. Elizabeth Quinlan, LCSW-RNPI 1902074024
Title
Ceo
Phone
(631) 921-2595

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 075160 NY Primary

Addresses

Primary practice location

124 RT. 112
Ste. C
Patchogue, NY 11772-1232

Mailing address

124 RT. 112
Ste. C
Patchogue, NY 11772-1232
Phone (631) 714-5123

National Provider Directory

National Provider Directory
Part of
Discoveries Therapy LCSW PC

Locations

124 Route 112
Ste C
Patchogue, NY 11772
Phone (631) 714-5123

Practitioners & affiliated clinicians

Practitioners 2

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": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1184922460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RT. 112",
            "address_2": "STE. C",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721232",
            "telephone_number": "631-714-5123",
            "fax_number": "631-714-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RT. 112",
            "address_2": "STE. C",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721232",
            "telephone_number": "631-714-5123",
            "fax_number": "631-714-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERIES THERAPY LCSW, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DISCOVERIES THERAPY LCSW, P.C.",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-921-2595",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.