Active NPI
St Gregory the Great Community Service Center Inc
- Clinical Social Worker
- Bellerose, NY
National Provider Identifier
1588817407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R048675-1
- 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, 2008
- 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
- Mrs. Marianne Farella, LCSW-R
- Title
- Executive Director
- Phone
- (718) 343-5978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Woodmere, NY
- NPI 1598951154
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.