Active NPI
Bravas Counseling Services-LCSW, PLLC
- Clinical Social Worker
- Fishkill, NY
National Provider Identifier
1578045720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R075523
- Legal business name
- BRAVAS COUNSELING SERVICES-LCSW, PLLC
- Practice address
- 1100 Route 9
Fishkill, NY 12524-2560 - Phone
- (845) 243-7024
- Fax
- (845) 440-0036
- NPI assigned
- Sep 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tameika L Hinton, LCSW-R, BC-TMH
- Title
- Licensed Clinical Social Worker
- Phone
- (845) 590-8224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R075523 | NY | Primary |
Addresses
Primary practice location
1100 Route 9
Fishkill, NY 12524-2560
Mailing address
PO Box 792
Wappingers Falls, NY 12590-0792
Phone (845) 590-8224
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536019200000",
"number": "1578045720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 792",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125900792",
"telephone_number": "845-590-8224",
"fax_number": "845-440-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ROUTE 9",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242560",
"telephone_number": "845-243-7024",
"fax_number": "845-440-0036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVAS COUNSELING SERVICES-LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A",
"authorized_official_last_name": "HINTON",
"authorized_official_first_name": "TAMEIKA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "845-590-8224",
"authorized_official_credential": "LCSW-R, BC-TMH"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R075523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.