Senior in-Home Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0701331 Issued in NY

Legal business name

SENIOR IN-HOME COUNSELING LLC

Practice address

3405 Fontana Lake Dr
Fuquay Varina, NC 27526-0109

Phone

(631) 793-2846

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sally Peters, LCSW

Title

0Wner

Phone

(631) 793-2846

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Marybeth Brady, LCSW

  • Clinical Social Worker
  • Slingerlands, NY
  • NPI 1023105590
  NPD (past)
• Mindy R Bresky, LACSW

  • Clinical Social Worker
  • Melville, NY
  • NPI 1700088101
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1669483350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 FONTANA LAKE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275260109",
            "telephone_number": "631-793-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 FONTANA LAKE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275260109",
            "telephone_number": "631-793-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR IN-HOME COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "0WNER",
        "authorized_official_telephone_number": "631-793-2846",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0701331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1235131566",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02168298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maisha Schneider, BCBA
• Mellisa Anna Scott
• Samantha Sedivy
• Kristen N Seidel, PA-C
• Emily Kathleen Peterson Selfe, OTR/L
• Rashaud Senior, MD
• Senora H. Woodard
• Senters Holdings
• Senters Holdings LLC
• Senters Holdings, LLC

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.