Inner Power LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082458-1 Issued in NY

Legal business name

INNER POWER LCSW PC

Practice address

7009 Austin St
Suite 203
Forest Hills, NY 11375-4799

Phone

(646) 725-8545

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Irina Mavasheva, LCSWNPI 1841367968

Title

President

Phone

(646) 725-8545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Irina Mavasheva

  • Clinical Social Worker
  • Forest Hills, NY
  • NPI 1841367968
  Medicare reassignment NPD Authorized official
• Eleonora Rubin, MD

  • Child & Adolescent Psychiatry Physician
  • Jamaica Estates, NY
  • NPI 1700988193
  NPD (past)

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1831597004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 AUSTIN ST",
            "address_2": "SUITE 203",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754799",
            "telephone_number": "646-725-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 AUSTIN ST",
            "address_2": "SUITE 203",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754799",
            "telephone_number": "646-725-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER POWER LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MAVASHEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-725-8545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Milana Inoyatova, OTR/L
• Olga Inoyatova, PHARM-D

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Jul 16, 2015; 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.