Helping Our People Excel Community Social Work Initiative, P.C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R05888-3 Issued in NY

Legal business name

HELPING OUR PEOPLE EXCEL COMMUNITY SOCIAL WORK INITIATIVE, P.C

Practice address

1411 Linden Blvd Apt 5F
Brooklyn, NY 11212-5143

Phone

(718) 922-4721

Fax

(718) 922-6011

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Miss Tanya Sherise Odums, LCSW

Title

Ceo/Therapist

Phone

(718) 922-4721

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376565283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360470",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112360470",
            "telephone_number": "718-922-4721",
            "fax_number": "718-922-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 LINDEN BLVD APT 5F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125143",
            "telephone_number": "718-922-4721",
            "fax_number": "718-922-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELPING OUR PEOPLE EXCEL COMMUNITY SOCIAL WORK INITIATIVE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODUMS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "SHERISE",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "718-922-4721",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R05888-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02591188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.