Edified Care Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EDIFIED CARE INC

Practice address

1054 Webber Ave
South Hempstead, NY 11550-7830

Phone

(516) 314-2652

Fax

(516) 505-7393

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Barbara Jean Hieronymus, LCSW, CASACNPI 1982951299

Title

Owner

Phone

(516) 314-2652

Specialties & licenses 3

Addresses

Other names 1

• EDIFIED CARE INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Barbara Jean Hieronymus, LMSW,CASAC

  • Social Worker
  • South Hempstead, NY
  • NPI 1982951299
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1730736109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 WEBBER AVE",
            "city": "SOUTH HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507830",
            "telephone_number": "516-314-2652",
            "fax_number": "516-505-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 WEBBER AVE",
            "city": "SOUTH HEMPSTEAD",
            "state": "NY",
            "postal_code": "115507830",
            "telephone_number": "516-314-2652",
            "fax_number": "516-505-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIFIED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "HIERONYMUS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-314-2652",
        "authorized_official_credential": "LCSW, CASAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDIFIED CARE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bidania Criscuolo, LMSW
• Laarni Datinguinoo, P.T.
• Lennox Godwin Debarros, NURSE PRACTITIONER
• Maggy Dhaiti
• Larissa Dos Santos Garcez
• Kerrie-Ann T. Fairclough, LMSW
• Paulette Fitzpatrick
• Fostering Resilience Empowerment Success & Hope
• Jasmine Frisone, M. S. ED.
• Maria Teresa Fritz-Rodriguez, M.A. CCC/SLP

• Clinical Social Worker in South Hempstead, NY
• Providers in South Hempstead, 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 21, 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.