Organization Active NPI

Consultation Treatment Services, LCSW PLLC

  • Clinical Social Worker
  • Floral Park, NY
National Provider Identifier
1710405204
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONSULTATION TREATMENT SERVICES, LCSW PLLC
Practice address
99 Tulip Ave Ste 305
Floral Park, NY 11001-1974
Phone
(631) 466-7053
NPI assigned
Sep 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Syma Shaffer
Title
Manager
Phone
(631) 909-4300

Specialties & licenses 1

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

Addresses

Primary practice location

99 Tulip Ave Ste 305
Floral Park, NY 11001-1974

Mailing address

99 Tulip Ave Ste 305
Floral Park, NY 11001-1974
Phone (631) 466-7053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210216002830 NY Part B Supplier - Clinic/Group Practice 5092120444 Receives reassigned benefits from 2 practitioners
Practice locations: Floral Park, NY

National Provider Directory

National Provider Directory
Tax ID family
Consultation Treatment Services LCSW PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1710405204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE STE 305",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011974",
            "telephone_number": "631-466-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE STE 305",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011974",
            "telephone_number": "631-466-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTATION TREATMENT SERVICES, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "SYMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-909-4300"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.