Organization Active NPI

Purpose Driven Therapeutic Services LCSW, PLLC

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1396137808
Registry record updated Feb 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081285-1 Issued in NY
Legal business name
PURPOSE DRIVEN THERAPEUTIC SERVICES LCSW, PLLC
Practice address
120 Stuyvesant PL
Suite 402
Staten Island, NY 10301-1989
Phone
(347) 855-5957
NPI assigned
Feb 21, 2015
Last updated
Feb 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2015

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

Authorized official

Name
Marling Richards, LCSW
Title
Executive Director
Phone
(347) 855-5957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 081285-1 NY Primary

Addresses

Primary practice location

120 Stuyvesant PL
Suite 402
Staten Island, NY 10301-1989

Mailing address

120 Stuyvesant PL
Suite 402
Staten Island, NY 10301-1989
Phone (347) 855-5957

National Provider Directory

National Provider Directory

Locations

120 Stuyvesant Pl
Ste 2
Staten Island, NY 10301
Phone (347) 855-5957

120 Stuyvesant Pl
Ste 402
Staten Island, NY 10301
Phone (347) 855-5957

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424476800000",
    "number": "1396137808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STUYVESANT PL",
            "address_2": "SUITE 402",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011989",
            "telephone_number": "347-855-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STUYVESANT PL",
            "address_2": "SUITE 402",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011989",
            "telephone_number": "347-855-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE DRIVEN THERAPEUTIC SERVICES LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MARLING",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-855-5957",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081285-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.