NPIMap

Organization Active NPI

Community Connections Counseling Servicecs

  • Clinical Social Worker
  • Center Moriches, NY
National Provider Identifier
1700030152
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071373-1 Issued in NY
Legal business name
COMMUNITY CONNECTIONS COUNSELING SERVICECS
Practice address
430 Main St Ste 8
Center Moriches, NY 11934-3521
Phone
(631) 874-0185
Fax
(631) 909-3558
NPI assigned
Nov 12, 2008
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Ms. Marina Roux, LCSWNPI 1144316076
Title
Director
Phone
(631) 874-0185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071373-1 NY Primary

Addresses

Primary practice location

430 Main St Ste 8
Center Moriches, NY 11934-3521

Mailing address

430 Main St Ste 8
Center Moriches, NY 11934-3521
Phone (631) 874-0185

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1700030152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MAIN ST STE 8",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343521",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN ST STE 8",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343521",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTIONS COUNSELING SERVICECS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "ROUX",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-874-0185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071373-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.