Kew Gardens Center for Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070670 Issued in NY

Legal business name

KEW GARDENS CENTER FOR WELLNESS

Practice address

11929 80TH Rd
Kew Gardens, NY 11415-1105

Phone

(718) 261-5728

Fax

(718) 261-5734

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne A Friedman, LCSW

Title

Partner/Owner

Phone

(347) 200-7729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1619227253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11929 80TH RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 80TH RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151105",
            "telephone_number": "718-261-5728",
            "fax_number": "718-261-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEW GARDENS CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "347-200-7729",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Katayev
• Deniz Kaya, PA
• Tahsin Kazi-Islam
• Marie Keogh, MPH, RD, CDN, IBCLC
• Maxwell Ketschke
• Kew Gardens Dental P.C
• Kew Gardens Dialysis Center
• Kew Gardens Drug Corp
• Kew Gardens Family Dental,PLLC
• Kew Gardens Family Physicians, LLP

• Clinical Social Worker in Kew Gardens, NY
• Providers in Kew Gardens, 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 Sep 11, 2012; 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.