Home Visit Psychotherapy and Counseling Service, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0522251 Issued in NY

Legal business name

HOME VISIT PSYCHOTHERAPY AND COUNSELING SERVICE, PLLC

Practice address

12 Lorraine St
Syosset, NY 11791-6709

Phone

(516) 935-0562

Fax

(845) 340-7314

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Debra Mallin, LCSWNPI 1982749651

Title

President

Phone

(516) 935-0562

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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

• Debra Mallin

  • Clinical Social Worker
  • Syosset, NY
  • NPI 1982749651
  Medicare reassignment Care Compare group NPD Authorized official
• Barbara Ann McGuire, LCSW

  • Counselor
  • Rockville Centre, NY
  • NPI 1073030490
  Medicare reassignment Care Compare group NPD
• Melissa Iris Bokser, LCSW-R

  • Clinical Social Worker
  • Farmingdale, NY
  • NPI 1972868297
  Medicare reassignment NPD
• Hillary B Lagnado, LCSW-R

  • Clinical Social Worker
  • Hicksville, NY
  • NPI 1144633249
  Medicare reassignment NPD

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1700156718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LORRAINE ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916709",
            "telephone_number": "516-935-0562",
            "fax_number": "845-340-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LORRAINE ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916709",
            "telephone_number": "516-935-0562",
            "fax_number": "845-340-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME VISIT PSYCHOTHERAPY AND COUNSELING SERVICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "MALLIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-935-0562",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0522251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M. Hoffman, L.C.S.W
• Deborah J Holbrook, RN
• Holistic Embraced Healing, Inc.
• Holistic Medicine Services of Long Island Inc
• Shirley L Holtzman, LCSW
• Victoria Mele Hopkins, OT
• Jenna Michele Horabn, MS
• James Thomas Horne, D.O.
• Sharbind Hossain, PHARM D
• Melanie Howard, PA

• Clinical Social Worker in Syosset, NY
• Providers in Syosset, 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 Feb 14, 2012; 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.