Organization Active NPI

Community Psychotherapy LCSW, PLLC

  • Clinical Social Worker
  • Mount Vernon, NY
National Provider Identifier
1407482938
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMMUNITY PSYCHOTHERAPY LCSW, PLLC
Practice address
11 W Prospect Ave
Mount Vernon, NY 10550-2017
Phone
(888) 931-3303
Fax
(888) 635-9933
NPI assigned
Mar 16, 2020
Last updated
Mar 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Mr. Preston J Lanier, LCSW
Title
President/Therapist
Phone
(888) 931-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11 W Prospect Ave
Mount Vernon, NY 10550-2017

Mailing address

6 E Sussex PL
New Castle, DE 19720-8801
Phone (888) 931-3303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1407482938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E SUSSEX PL",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208801",
            "telephone_number": "888-931-3303",
            "fax_number": "888-635-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017",
            "telephone_number": "888-931-3303",
            "fax_number": "888-635-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PSYCHOTHERAPY LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "888-931-3303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.