The Sanctuary Care & Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE SANCTUARY CARE & COUNSELING CENTER

Practice address

397 Bridge Street
Brooklyn, NY 11201

Phone

(888) 530-1128

Fax

(786) 408-7503

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Shana McIntyre, LCSWNPI 1013162908

Title

Clinical Director, Owner

Phone

(888) 530-1128

Specialties & licenses 1

Addresses

Practitioners 1

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

• Amanda S. McIntyre, LCSW

  • Social Worker
  • Beale Afb, CA
  • NPI 1013162908
  NPD Authorized official

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1558075531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 MAIN ST # 145",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257809",
            "telephone_number": "888-530-1128",
            "fax_number": "786-408-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BRIDGE STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "888-530-1128",
            "fax_number": "786-408-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SANCTUARY CARE & COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SHANA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, OWNER",
        "authorized_official_telephone_number": "888-530-1128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 13, 2023; 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.