Great Neck Counseling, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R019157-1 Issued in NY

Legal business name

GREAT NECK COUNSELING, LCSW, PLLC

Practice address

445 Northern Blvd
Suite 12
Great Neck, NY 11021-4820

Phone

(516) 625-1617

Fax

(516) 625-1617

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Aviva Zigelman, LCSWNPI 1740262310

Title

Owner

Phone

(516) 625-1617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Aviva Zigelman

  • Social Worker
  • Great Neck, NY
  • NPI 1740262310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1609248467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILLTOP RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071038",
            "telephone_number": "516-625-1617",
            "fax_number": "516-625-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 NORTHERN BLVD",
            "address_2": "SUITE 12",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214820",
            "telephone_number": "516-625-1617",
            "fax_number": "516-625-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK COUNSELING, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "ZIGELMAN",
        "authorized_official_first_name": "AVIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-625-1617",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R019157-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.