Celine Bobb-Inniss, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R047220-1 Issued in NY

Practice address

250 Fulton Ave Ste 418
Hempstead, NY 11550-3916

Phone

(516) 858-5001

Fax

(646) 274-3955

NPI assigned

Mar 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Positive Inc

  • Clinical Social Worker
  • Hempstead, NY
  • NPI 1184035586
  Medicare reassignment NPD Authorized official
• Living Positive Inc

  • Clinical Social Worker
  • Hempstead, NY
  • NPI 1285090845
  NPD Authorized official

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1497079461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11305 202ND ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122530",
            "telephone_number": "718-264-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FULTON AVE STE 418",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503916",
            "telephone_number": "516-858-5001",
            "fax_number": "646-274-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Prince St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013022",
            "country_code": "US",
            "telephone_number": "718-374-5949",
            "fax_number": "646-374-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3418 Northern Blvd Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111012807",
            "country_code": "US",
            "telephone_number": "718-374-5949",
            "fax_number": "646-374-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 3rd Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104554068",
            "country_code": "US",
            "telephone_number": "718-374-5949",
            "fax_number": "646-374-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBB-INNISS",
        "first_name": "CELINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047220-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherene Tamika Blake, R.N
• Blue Ribbon Social Activity Day Center LLC.
• Vickki Blue, LPN
• Jaquela Danielle Blyther-Tyme
• Bma Logistics
• Jasmine Yvonne Bonilla, LMSW
• Melida Bonilla
• Katesha V Booker-Phifer
• Octabia Boone
• Sabrina Borges, VRT/ OM

• Clinical Social Worker in Hempstead, NY
• Providers in Hempstead, 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 Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.