New Bridge Employees Assistance Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R034583 Issued in NY

Legal business name

NEW BRIDGE EMPLOYEES ASSISTANCE SERVICES

Practice address

3601 Hempstead Turnpike
Ste LLM4
Levittown, NY 11756

Phone

(516) 713-1952

Fax

(516) 799-9655

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert T Hazelton, LCSWNPI 1720228497

Title

Director Licensed Clinical Social W

Phone

(516) 713-1952

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert T. Hazelton

  • Clinical Social Worker
  • Levittown, NY
  • NPI 1720228497
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497892244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TURNPIKE",
            "address_2": "STE LLM4",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "516-713-1952",
            "fax_number": "516-799-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TURNPIKE",
            "address_2": "STE LLM4",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "516-713-1952",
            "fax_number": "516-799-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIDGE EMPLOYEES ASSISTANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZELTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR LICENSED CLINICAL SOCIAL W",
        "authorized_official_telephone_number": "516-713-1952",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Levittown, NY
• Providers in Levittown, 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 Aug 22, 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.