Active NPI
Living Positive Inc
- Clinical Social Worker
- Hempstead, NY
National Provider Identifier
1285090845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R047220-1
- Legal business name
- LIVING POSITIVE INC
- Practice address
- 250 Fulton Ave
Suite 418
Hempstead, NY 11550-3917 - Phone
- (718) 916-3359
- Fax
- (646) 374-3955
- NPI assigned
- Jan 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Celine Bobb-Inniss, LCSW-R
- Title
- President
- Phone
- (718) 916-3359
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R047220-1 | NY | |
| Mental Health Counselor | 101YM0800X | R047220-1 | NY | |
| Social Worker | 104100000X | R047220-1 | NY | |
| Clinical Social Worker | 1041C0700X | R047220-1 | NY | Primary |
Addresses
Primary practice location
250 Fulton Ave
Suite 418
Hempstead, NY 11550-3917
Mailing address
11305 202ND St
Saint Albans, NY 11412-2530
Phone (718) 264-7803
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A100108105 | Other | NY | MEDICARE |
| 04239052 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hempstead, NY
- NPI 1497079461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452556800000",
"number": "1285090845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11305 202ND ST",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122530",
"telephone_number": "718-264-7803",
"fax_number": "646-374-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FULTON AVE",
"address_2": "SUITE 418",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503917",
"telephone_number": "718-916-3359",
"fax_number": "646-374-3955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING POSITIVE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A",
"authorized_official_last_name": "BOBB-INNISS",
"authorized_official_first_name": "CELINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-916-3359",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "R047220-1",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R047220-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "R047220-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R047220-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A100108105",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04239052",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.