SML Licensed Master Social Worker Services P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

067822 Issued in NY

Legal business name

SML LICENSED MASTER SOCIAL WORKER SERVICES P.C.

Practice address

1455 71St St
Brooklyn, NY 11228-1707

Phone

(917) 204-5852

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Marie Longo, LMSW

Title

President

Phone

(917) 204-5852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1710273842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22206 BELLA LAGO DR",
            "address_2": "1509",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334842",
            "telephone_number": "917-204-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281707",
            "telephone_number": "917-204-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SML LICENSED MASTER SOCIAL WORKER SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-204-5852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "067822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.