NPIMap

Organization Active NPI

Queens Counseling for Change, LCSW, LLP

  • Clinical Social Worker
  • Long Island City, NY
National Provider Identifier
1215388384
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
QUEENS COUNSELING FOR CHANGE, LCSW, LLP
Practice address
4461A 11TH St
Long Island City, NY 11101-5102
Phone
(718) 424-6191
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Mrs. Lucille Berberich, LCSW
Title
Clinical Social Worker
Phone
(718) 424-6191

Specialties & licenses 1

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

Addresses

Primary practice location

4461A 11TH St
Long Island City, NY 11101-5102

Mailing address

4461A 11TH St
Long Island City, NY 11101-5102
Phone (718) 424-6191

National Provider Directory

National Provider Directory

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": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1215388384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461A 11TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015102",
            "telephone_number": "718-424-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461A 11TH ST",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015102",
            "telephone_number": "718-424-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS COUNSELING FOR CHANGE, LCSW, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "BERBERICH",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "718-424-6191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.