Mustard Seed Survivor Empowerment Foundation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R055343 Issued in NY

Legal business name

MUSTARD SEED SURVIVOR EMPOWERMENT FOUNDATION

Practice address

1118 Bedford Ave
Brooklyn, NY 11216-1303

Phone

(718) 875-7425

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Scott Johnson, J.D.

Title

Executive Director

Phone

(718) 875-7425

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William C Ford, P.C.

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1720230030
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1386955946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072407",
            "telephone_number": "718-875-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161303",
            "telephone_number": "718-875-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTARD SEED SURVIVOR EMPOWERMENT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-875-7425",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawkat Mustafa, M.D.
• Albina Mustafalic
• Galima Mustafina
• Marina Mustafina
• Mustard Seed Forensic Licensed Clinical Social Work Services P.C.
• Sima Muster
• Karen J Mustipher-Shepard, MSW
• Pooja Musuku
• Jennifer Musumeci, MD
• Albina Mutaeva

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Apr 2, 2019; 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.