Organization Active NPI

Social Butterflies Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Middle Village, NY
National Provider Identifier
1215459920
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079283 Issued in NY
Legal business name
SOCIAL BUTTERFLIES PSYCHOTHERAPY LCSW PLLC
Doing business as
Social Butterflies Psychotherapy and Life Coach
Practice address
7405 Metropolitan Ave Ste 2F
Middle Village, NY 11379-2699
Phone
(917) 773-7637
Fax
(718) 228-2845
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Luz Mariel Oviedo, LCSWNPI 1033305982
Title
Owner
Phone
(917) 773-7637

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 079283 NY Primary

Addresses

Primary practice location

7405 Metropolitan Ave Ste 2F
Middle Village, NY 11379-2699

Mailing address

7405 Metropolitan Ave Ste 2F
Middle Village, NY 11379-2699
Phone (917) 773-7637

Other practice location 1

950 Franklin Ave
Garden City, NY 11530-2927
Phone (888) 711-5532

Other practice location 2

109 N 12th St # 704
Brooklyn, NY 11249-1002
Phone (888) 711-5532

Other names 1

  • Social Butterflies Psychotherapy and Life Coach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250404000806 NY Part B Supplier - Clinic/Group Practice 1052835659 Receives reassigned benefits from 1 practitioner
Practice locations: Middle Village, NY; Brooklyn, NY; Garden City, NY

National Provider Directory

National Provider Directory

Locations

109 N 12th St
#704
Brooklyn, NY 11249
Phone (718) 637-6400

950 Franklin Ave
Garden City, NY 11530
Phone (516) 557-6719

7405 Metropolitan Ave
Ste 2F
Middle Village, NY 11379
Phone (718) 635-0595

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": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1215459920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 METROPOLITAN AVE STE 2F",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792699",
            "telephone_number": "917-773-7637",
            "fax_number": "718-228-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 METROPOLITAN AVE STE 2F",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792699",
            "telephone_number": "917-773-7637",
            "fax_number": "718-228-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115302927",
            "country_code": "US",
            "telephone_number": "888-711-5532",
            "fax_number": "718-228-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N 12th St # 704",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112491002",
            "country_code": "US",
            "telephone_number": "888-711-5532",
            "fax_number": "718-228-2845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL BUTTERFLIES PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "OVIEDO",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "MARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-773-7637",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Social Butterflies Psychotherapy and Life Coach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.