Social Therapy Contractor LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R046837-1 Issued in NY

Legal business name

SOCIAL THERAPY CONTRACTOR LCSW LLC

Practice address

17 Devon PL
Staten Island, NY 10301-2012

Phone

(718) 720-0174

NPI assigned

Apr 17, 2017

Last updated

Apr 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terry J Blocker, MSW

Title

Ceo

Phone

(718) 720-0174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1457885329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DEVON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012012",
            "telephone_number": "718-720-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DEVON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012012",
            "telephone_number": "718-720-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL THERAPY CONTRACTOR LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "BLOCKER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-720-0174",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046837-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avital Sobol
• Svetlana Sobol, F.N.P.
• Kaylee Soboleski, ATC
• Joan Melinda Sobsey, N.P.
• Pallavi Sharma Sobun, AU.D.
• Stephanie Socolick, ATR-BC, LCAT
• Oluwaseun O Sode, LPN
• Olubunmi Sodipo
• Heather Sofia
• James Sofronis, PT, DPT

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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 17, 2017; 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.