Organization Active NPI

Crecer, Inc

  • Clinical Social Worker
  • Woodside, NY
National Provider Identifier
1710112636
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075579-1 Issued in NY
Legal business name
CRECER, INC
Practice address
4610 61St St
Woodside, NY 11377-5766
Phone
(631) 888-0215
Fax
(631) 888-0431
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Mrs. Priska Imberti, LCSW
Title
Clinical Director
Phone
(631) 888-0215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 075579-1 NY Primary

Addresses

Primary practice location

4610 61St St
Woodside, NY 11377-5766

Mailing address

1335 3Rd St
West Babylon, NY 11704-4729
Phone (631) 888-0215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1710112636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 3RD ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044729",
            "telephone_number": "631-888-0215",
            "fax_number": "631-888-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 61ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775766",
            "telephone_number": "631-888-0215",
            "fax_number": "631-888-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRECER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "IMBERTI",
        "authorized_official_first_name": "PRISKA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "631-888-0215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075579-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.