Family Individual Couples Children Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0565241 Issued in NY

Legal business name

FAMILY INDIVIDUAL COUPLES CHILDREN PSYCHOTHERAPY PLLC

Doing business as

Alba Ardila

Practice address

46 Herbert Dr
Garden City Park, NY 11040-3734

Phone

(646) 734-4527

NPI assigned

Aug 7, 2014

Last updated

Oct 1, 2024By 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

Mrs. Alba Ardila, LCSW-R

Title

Director

Phone

(646) 734-4527

Specialties & licenses 1

Addresses

Other names 1

• Alba Ardila Doing business as

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1295144855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HERBERT DR",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110403734",
            "telephone_number": "646-734-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HERBERT DR",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110403734",
            "telephone_number": "646-734-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INDIVIDUAL COUPLES CHILDREN PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "ARDILA",
        "authorized_official_first_name": "ALBA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-734-4527",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0565241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alba Ardila",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina Chhabra, PHARM. D
• Marci Choi
• Susan Digregorio, R.PH.
• Stephen Jason Dini, D.P.M.
• Jacquelyn E English, D.O.
• Donna Fenner I
• Garden City Park Water District (Garden City Fire District)
• Mercy M George, M.S. RPH.
• Robert Joseph Goebel, D.C.
• Gregory A Hobbs, PH.D.

• Clinical Social Worker in Garden City Park, NY
• Providers in Garden City Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.