Hudson Valley Dynamic Counseling LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R047801 Issued in NY

Legal business name

HUDSON VALLEY DYNAMIC COUNSELING LCSW PC

Practice address

224 Church St
Poughkeepsie, NY 12601-4282

Phone

(845) 625-3181

NPI assigned

Sep 22, 2009

Last updated

Mar 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vassell G O'GilvieNPI 1942435599

Title

President

Phone

(845) 625-3181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Vassell G O'Gilvie, LCSW

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1942435599
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1649504754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DONNA DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035611",
            "telephone_number": "845-625-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CHURCH ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014282",
            "telephone_number": "845-625-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY DYNAMIC COUNSELING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "O'GILVIE",
        "authorized_official_first_name": "VASSELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-625-3181"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, 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 Mar 5, 2013; 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.