Organization Active NPI

Blue Flower Counseling LCSW, PLLC

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1366188955
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLUE FLOWER COUNSELING LCSW, PLLC
Practice address
90 State St Ste Office40
Albany, NY 12207-1716
Phone
(718) 450-2940
NPI assigned
May 7, 2022
Last updated
May 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Authorized official

Name
Jaleesa Dickson, LCSWNPI 1184143836
Title
Owner
Phone
(631) 977-9764

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

90 State St Ste Office40
Albany, NY 12207-1716

Mailing address

90 State St Ste Office40
Albany, NY 12207-1716

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1366188955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 STATE ST STE OFFICE40",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 STATE ST STE OFFICE40",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071716",
            "telephone_number": "718-450-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE FLOWER COUNSELING LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JALEESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-977-9764",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2022; 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.