Organization Active NPI

Umoja Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Farmingdale, NY
National Provider Identifier
1700614393
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UMOJA PSYCHOTHERAPY LCSW PLLC
Practice address
35 Schleigel Blvd
Farmingdale, NY 11735-6224
Phone
(516) 455-5195
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Tashi M. Self, LCSW
Title
Owner/Therapist
Phone
(516) 455-5195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

35 Schleigel Blvd
Farmingdale, NY 11735-6224

Mailing address

35 Schleigel Blvd
Farmingdale, NY 11735-6224
Phone (516) 455-5195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1700614393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SCHLEIGEL BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117356224",
            "telephone_number": "516-455-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SCHLEIGEL BLVD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117356224",
            "telephone_number": "516-455-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMOJA PSYCHOTHERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "TASHI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "516-455-5195",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.