Organization Active NPI

Bravas Counseling Services-LCSW, PLLC

  • Clinical Social Worker
  • Fishkill, NY
National Provider Identifier
1578045720
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R075523 Issued in NY
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

Updated by the provider on Sep 4, 2018

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.