Organization Active NPI

Live Well Individual and Family Counseling Service, LCSW, LLC

  • Clinical Social Worker
  • Washingtonville, NY
National Provider Identifier
1568925899
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVE WELL INDIVIDUAL AND FAMILY COUNSELING SERVICE, LCSW, LLC
Practice address
90 E Main St Ste 201
Washingtonville, NY 10992-2302
Phone
(845) 614-4003
Fax
(845) 614-0946
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Mrs. Sabrina Sanchez, LCSW
Title
Owner
Phone
(845) 614-4003

Specialties & licenses 1

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

Addresses

Primary practice location

90 E Main St Ste 201
Washingtonville, NY 10992-2302

Mailing address

90 E Main St Ste 201
Washingtonville, NY 10992-2302
Phone (845) 614-4003

Other names 1

  • Live Well Individual and Family Counseling Service, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

90 E Main St
Ste 201
Washingtonville, NY 10992
Phone (845) 614-4003

90 E Main St
Washingtonville, NY 10992
Phone (845) 496-2400

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1568925899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST STE 201",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922302",
            "telephone_number": "845-614-4003",
            "fax_number": "845-614-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST STE 201",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922302",
            "telephone_number": "845-614-4003",
            "fax_number": "845-614-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL INDIVIDUAL AND FAMILY COUNSELING SERVICE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-614-4003",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "Live Well Individual and Family Counseling Service, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washingtonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.