Village Counsleing Licensed Clinical Social Work Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VILLAGE COUNSLEING LICENSED CLINICAL SOCIAL WORK SERVICES PLLC

Practice address

280 Madison Ave.
Suite #1108
New York, NY 10016-0815

Phone

(212) 473-1512

Fax

(518) 719-2620

NPI assigned

Feb 27, 2024

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher A Scott, LCSWNPI 1790808384

Title

Clinical Director-Owner

Phone

(917) 747-5635

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher A. Scott, LCSW

  • Clinical Social Worker
  • East Chatham, NY
  • NPI 1790808384
  NPD Authorized official
• Rebecca P Kalb

  • Clinical Social Worker
  • New York, NY
  • NPI 1154185205
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1780440735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 KELLY RD. PO#219",
            "city": "EAST CHATHAM",
            "state": "NY",
            "postal_code": "120602104",
            "telephone_number": "212-473-1512",
            "fax_number": "518-719-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE.",
            "address_2": "SUITE #1108",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160815",
            "telephone_number": "212-473-1512",
            "fax_number": "518-719-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE COUNSLEING LICENSED CLINICAL SOCIAL WORK SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR-OWNER",
        "authorized_official_telephone_number": "917-747-5635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Village Family Practice (village travel medicine)
• Village Family Practice, PC

• Clinical Social Worker in New York, NY
• Providers in New York, 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 24, 2024; 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.