Active NPI
Hope Inspired Psychotherapy
- Clinical Social Worker
- Buffalo, NY
National Provider Identifier
1295495570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOPE INSPIRED PSYCHOTHERAPY
- Practice address
- 112 Lonsdale Rd
Buffalo, NY 14208-1532 - Phone
- (716) 465-9281
- NPI assigned
- Dec 28, 2021
- 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
- Mr. Laurence Roosevelt Jones, LCSW
- Title
- Clinical Social Worker
- Phone
- (716) 465-9281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
112 Lonsdale Rd
Buffalo, NY 14208-1532
Mailing address
112 Lonsdale Rd
Buffalo, NY 14208-1532
Phone (716) 465-9281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05452415 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1295495570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LONSDALE RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142081532",
"telephone_number": "716-465-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LONSDALE RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142081532",
"telephone_number": "716-465-9281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE INSPIRED PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "LAURENCE",
"authorized_official_middle_name": "ROOSEVELT",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "716-465-9281",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05452415",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.