Organization Active NPI

Family and Consulting Services

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1780740795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR039834-1 Issued in NY
Legal business name
FAMILY AND CONSULTING SERVICES
Practice address
124 Utica Ave
Brooklyn, NY 11213-2339
Phone
(718) 771-3136
Fax
(718) 773-4273
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Samuel, RLCSW
Title
Ceo
Phone
(718) 771-3136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X PR039834-1 NY Primary

Addresses

Primary practice location

124 Utica Ave
Brooklyn, NY 11213-2339

Mailing address

124 Utica Ave
Brooklyn, NY 11213-2339
Phone (718) 771-3136

National Provider Directory

National Provider Directory

Locations

124 Utica Ave
Brooklyn, NY 11213
Phone (718) 771-3136

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780740795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132339",
            "telephone_number": "718-771-3136",
            "fax_number": "718-773-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132339",
            "telephone_number": "718-771-3136",
            "fax_number": "718-773-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-771-3136",
        "authorized_official_credential": "RLCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR039834-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • 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.