Organization Active NPI

Playdate LMSW Social Work PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1780838060
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
061668-1 Issued in NY
Legal business name
PLAYDATE LMSW SOCIAL WORK PLLC
Practice address
208 W 119TH St
Suite 3R
New York, NY 10026-1209
Phone
(917) 863-3780
Fax
(646) 596-7791
NPI assigned
Nov 12, 2008
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Ms. Olivia J Nelson, LMSW
Title
Sole MBR
Phone
(917) 863-3780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 061668-1 NY Primary

Addresses

Primary practice location

208 W 119TH St
Suite 3R
New York, NY 10026-1209

Mailing address

208 W 119TH St
Suite 3R
New York, NY 10026-1209
Phone (917) 863-3780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1780838060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 119TH ST",
            "address_2": "SUITE 3R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261209",
            "telephone_number": "917-863-3780",
            "fax_number": "646-596-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W 119TH ST",
            "address_2": "SUITE 3R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261209",
            "telephone_number": "917-863-3780",
            "fax_number": "646-596-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYDATE LMSW SOCIAL WORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "917-863-3780",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "061668-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.