Integrative Psychotherapists LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTEGRATIVE PSYCHOTHERAPISTS LCSW LLC

Practice address

401 Bloomingdale Rd Ste 4
Staten Island, NY 10309-2070

Phone

(718) 981-6158

Fax

(718) 981-6158

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Ann Keeney, PHD, LCSW

Title

Social Worker/Psychotherapist

Phone

(718) 981-6158

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Alexander Bogomolnik, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1063818540
  NPD (past)
• Mitchell Frank Rouzie, M.S.W.

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1124134036
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1720575764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HENDERSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101617",
            "telephone_number": "718-448-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BLOOMINGDALE RD STE 4",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092070",
            "telephone_number": "718-981-6158",
            "fax_number": "718-981-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOTHERAPISTS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOCIAL WORKER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "718-981-6158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02449970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integral Performance Chiropractic PC
• Integrated Chiropractic
• Integrated Diagnostic Imaging & Cardiology of Staten Island P.C.
• Integrated Telehealth by Valbona Avdija Family Health NP
• Integrative Hypertension and Nephrology PLLC
• Integrative Speech Therapy PLLC
• Integrity Psychological Services, PLLC
• Integrity Social Work Services LLC
• Intellectual Gift Inc
• Intellectual Gift SLP, PC

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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 Apr 16, 2018; 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.