Innovative Social Work Services, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R057551 Issued in NY

Legal business name

INNOVATIVE SOCIAL WORK SERVICES, PC

Practice address

596 E 165TH St
Suite a
Bronx, NY 10456-6849

Phone

(718) 620-7366

Fax

(718) 893-1635

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Michele Balthrope, LCSW

Title

Owner

Phone

(718) 620-7366

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710929203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 E 165TH ST",
            "address_2": "SUITE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566849",
            "telephone_number": "718-620-7366",
            "fax_number": "718-893-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 E 165TH ST",
            "address_2": "SUITE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566849",
            "telephone_number": "718-620-7366",
            "fax_number": "718-893-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SOCIAL WORK SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALTHROPE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-620-7366",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP (INSURANCE CO)",
            "identifier": "162213P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorna Decarla Innis, OTA
• Valrie Innis
• Girardine Innocent
• Innovative Footcare P.C
• Innovative Health Care Medical PC
• Flora Alba Inoa, DDS
• Priscilla Inoa
• Veleniss Inoa, SA, LCPC, NP, LPC,
• Deana Rochelle Inocencio, CASAC-T,
• Jamila M Inocente Paz

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 Aug 22, 2020; 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.