Organization Active NPI

Living Positive Inc

  • Clinical Social Worker
  • Hempstead, NY
National Provider Identifier
1285090845
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R047220-1 Issued in NY
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

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Celine Bobb-Inniss, LCSW-RNPI 1497079461
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X R047220-1 NY
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X R047220-1 NY
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X R047220-1 NY
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A100108105OtherNYMEDICARE
04239052MedicaidNY

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.