Organization Active NPI

St Gregory the Great Community Service Center Inc

  • Clinical Social Worker
  • Bellerose, NY
National Provider Identifier
1588817407
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048675-1 Issued in NY
Legal business name
ST GREGORY THE GREAT COMMUNITY SERVICE CENTER INC
Practice address
8819 Cross Island Pkwy
Bellerose, NY 11426-1633
Phone
(718) 343-5978
Fax
(718) 343-4101
NPI assigned
Oct 23, 2008
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Mrs. Marianne Farella, LCSW-R
Title
Executive Director
Phone
(718) 343-5978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R048675-1 NY Primary

Addresses

Primary practice location

8819 Cross Island Pkwy
Bellerose, NY 11426-1633

Mailing address

8819 Cross Island Pkwy
Bellerose, NY 11426-1633
Phone (718) 343-5978

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1588817407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 CROSS ISLAND PKWY",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261633",
            "telephone_number": "718-343-5978",
            "fax_number": "718-343-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 CROSS ISLAND PKWY",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261633",
            "telephone_number": "718-343-5978",
            "fax_number": "718-343-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GREGORY THE GREAT COMMUNITY SERVICE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "FARELLA",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-343-5978",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048675-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.