Certified Social Workers for Second Chances, P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

046889-1 Issued in NY

Legal business name

CERTIFIED SOCIAL WORKERS FOR SECOND CHANCES, P.C.

Practice address

5519 Metropolitan Ave
Ridgewood, NY 11385-1224

Phone

(718) 381-2245

Fax

(718) 381-2249

NPI assigned

Dec 12, 2008

Last updated

Dec 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lely Alamina

Title

Director

Phone

(718) 381-2245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1215172671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 METROPOLITAN AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851224",
            "telephone_number": "718-381-2245",
            "fax_number": "718-381-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 METROPOLITAN AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851224",
            "telephone_number": "718-381-2245",
            "fax_number": "718-381-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SOCIAL WORKERS FOR SECOND CHANCES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "ALAMINA",
        "authorized_official_first_name": "LELY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-381-2245"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "046889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.