Journey to Wellness LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOURNEY TO WELLNESS LCSW PLLC

Practice address

50 W 97TH St Apt 15H
New York, NY 10025-6081

Phone

(646) 399-8936

Fax

(929) 290-0328

NPI assigned

Dec 6, 2024

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee EddyNPI 1346646593

Title

LCSW

Phone

(646) 399-8936

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Renee Eddy, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1346646593
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1851107569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 97TH ST APT 15H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256081",
            "telephone_number": "646-399-8936",
            "fax_number": "929-290-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 97TH ST APT 15H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256081",
            "telephone_number": "646-399-8936",
            "fax_number": "929-290-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO WELLNESS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "646-399-8936"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan F Jourdain, PHARMACIST
• Melissa Natalie Jourdain
• Maya Jourieh, MHC-LP
• Journey Clinical Psychiatry Ca PC
• Journey Clinical Psychiatry PC
• Kevin Jovanovic, M.D.
• Radoslav Jovanovic, M.D.
• Stefania Jovanovic, M.D.
• Jackie Jove-Altman, PH.D.
• Charles Michael Jovellano, FNP-BC

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Dec 6, 2024; 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.