Active NPI
Awakenly LLC
- Community/Behavioral Health Agency
- Cornwall on Hudson, NY
National Provider Identifier
1790439651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AWAKENLY LLC
- Practice address
- 18 Hedges Ave
Cornwall on Hudson, NY 12520-1208 - Phone
- (347) 878-9934
- NPI assigned
- Feb 9, 2022
- Last updated
- Feb 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison D. Norman, LCSW
- Title
- Founder
- Phone
- (573) 268-9823
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
18 Hedges Ave
Cornwall on Hudson, NY 12520-1208
Mailing address
18 Hedges Ave
Cornwall on Hudson, NY 12520-1208
Phone (347) 878-9934
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086181 | Other | NY | LCSW |
| 18569 | Other | AZ | LCSW |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Goodyear, AZ
- NPI 1184049892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1790439651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 HEDGES AVE",
"city": "CORNWALL ON HUDSON",
"state": "NY",
"postal_code": "125201208",
"telephone_number": "347-878-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HEDGES AVE",
"city": "CORNWALL ON HUDSON",
"state": "NY",
"postal_code": "125201208",
"telephone_number": "347-878-9934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AWAKENLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "NORMAN",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "573-268-9823",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "086181",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "18569",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cornwall on Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.