NPIMap

Organization Active NPI

Village Therapy Wellness LCSW LLC

  • Clinical Social Worker
  • Babylon, NY
National Provider Identifier
1639719818
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VILLAGE THERAPY WELLNESS LCSW LLC
Practice address
122 W Main St
Babylon, NY 11702-3425
Phone
(631) 482-8030
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Lisa Murphy, LCSWNPI 1083016166
Title
Director/Owner
Phone
(631) 602-7072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

122 W Main St
Babylon, NY 11702-3425

Mailing address

122 W Main St
Babylon, NY 11702-3425

Other practice location 1

83 Fire Island Ave
Babylon, NY 11702
Phone (631) 602-7072

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Babylon Direct
CONNECT URL info@villagetherapywellness.com

National Provider Directory

National Provider Directory

Locations

83 Fire Island Ave
Babylon, NY 11702
Phone (631) 560-5631

122 W Main St
Babylon, NY 11702
Phone (631) 482-8030

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1639719818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023425",
            "telephone_number": "631-482-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Fire Island Ave",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "11702",
            "country_code": "US",
            "telephone_number": "631-602-7072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLAGE THERAPY WELLNESS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "631-602-7072",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Babylon",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "83 Fire Island Ave",
            "city": "Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@villagetherapywellness.com",
            "affiliation": "N",
            "address_1": "122 W Main St",
            "city": "Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117023425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.