MD Consultation LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071211 Issued in NY

Legal business name

MD CONSULTATION LCSW PC

Practice address

3457 82ND St
Jackson Heights, NY 11372-2939

Phone

(718) 310-0598

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Myrna Diptee, LCSW

Title

President

Phone

(718) 310-0598

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1396136420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 82ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 82ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722939",
            "telephone_number": "718-310-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD CONSULTATION LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "DIPTEE",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-310-0598",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette McCaughey
• Liliana McFetridge, PHYSICIAN ASSISTANT
• Amanda Jean McGann, B.A.
• Robert McKenna, OPTICIAN
• Sarah Marie McQuade, LMSW
• Medcourt Pharmacy, Inc.
• Medi City Pharmacy Inc.
• Melissa Medina, PTA
• Patricia Medina, PT
• Richard P Medina, DDS

• Clinical Social Worker in Jackson Heights, NY
• Providers in Jackson Heights, 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 May 1, 2015; 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.