Endeavor Therapeutic Services LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ENDEAVOR THERAPEUTIC SERVICES LCSW PLLC

Practice address

900 Walt Whitman Rd Ste 206
Melville, NY 11747-2215

Phone

(516) 445-6924

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Daniel A Selmer, LCSW-RNPI 1548684384

Title

Founder/Owner

Phone

(516) 445-6924

Specialties & licenses 1

Addresses

Other names 1

• Endeavor Psychotherapy Associates Doing business as

Locations

Practitioners 1

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

• Daniel A Selmer, LCSW-R

  • Clinical Social Worker
  • Plainview, NY
  • NPI 1548684384
  NPD (past) Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1720620370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SUTTON DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031221",
            "telephone_number": "516-445-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE 206",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "516-445-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDEAVOR THERAPEUTIC SERVICES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "SELMER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "516-445-6924",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor Psychotherapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Story Elmore
• Lauren Michelle Emanuele, MSED
• Sharon Amy Emmer
• Emmie Macalisang, Nurse Practitioner in Psychiatry PLLC
• Empire State Medi-Cab, Inc.
• Ashley English
• Enso Acupuncture and Massage, PLLC
• Jessica Enzinger
• Epstein Tavroff Leon DPMS LLP
• Maria Cristina Erickson, MS,CCC-SLP

• Clinical Social Worker in Melville, NY
• Providers in Melville, 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 Oct 15, 2019; 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.