Faces Ny, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085451 Issued in NY

Legal business name

FACES NY, INC.

Practice address

114 W 116TH St
New York, NY 10026-2679

Phone

(212) 865-0960

Fax

(212) 663-4310

NPI assigned

Aug 1, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Keith Douglas Blackburn, LCSW

Title

Clinical Supervisor

Phone

(212) 865-0960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1649794629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262679",
            "telephone_number": "212-865-0960",
            "fax_number": "212-663-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262679",
            "telephone_number": "212-865-0960",
            "fax_number": "212-663-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACES NY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "212-865-0960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Richard Fabros
• Marta Fabrykowski, O.D
• Fabulous Birth Support
• Marcelo Facciuto, M.D.
• Face2Face Health Medical, PLLC
• Brigitte Andrea Facompre, MS ED
• Oren Factor
• Rhonda J Factor, PH.D.
• Stephanie H Factor, MD
• Sage Nicolette Factora

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Aug 1, 2017; 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.