Orchard Blue Counseling Services LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ORCHARD BLUE COUNSELING SERVICES LCSW, PLLC

Practice address

19019 Linden Blvd Ste
Saint Albans, NY 11412-3361

Phone

(516) 200-1174

Fax

(929) 529-7453

NPI assigned

Jan 22, 2021

Organization subpart

No

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

Authorized official

Name

Cerene L Prince, LCSWNPI 1700397494

Title

Owner/Licensed Clinical Social Work

Phone

(516) 341-2727

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

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

• Cerene L Prince, LCSW

  • Clinical Social Worker
  • Saint Albans, NY
  • NPI 1700397494
  NPD Authorized official

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1831789957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19019 LINDEN BLVD STE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123361",
            "telephone_number": "516-200-1174",
            "fax_number": "929-529-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19019 LINDEN BLVD STE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123361",
            "telephone_number": "516-200-1174",
            "fax_number": "929-529-7453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18915 119th Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "NY",
            "postal_code": "114123322",
            "country_code": "US",
            "telephone_number": "516-200-1174",
            "fax_number": "929-529-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORCHARD BLUE COUNSELING SERVICES LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "CERENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "516-341-2727",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05971531",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "1700397494",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "1700397494",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "1700397494",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "1700397494",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1700397494",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Saint Albans, NY
• Providers in Saint Albans, 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 Feb 24, 2025; 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.