NPIMap

Organization Active NPI

Passages Wellness & Counseling for Women

  • Clinical Social Worker
  • Setauket, NY
National Provider Identifier
1922416676
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071106 Issued in NY
Legal business name
PASSAGES WELLNESS & COUNSELING FOR WOMEN
Practice address
348 Main St
Setauket, NY 11733-3800
Phone
(631) 941-1200
Fax
(631) 941-1201
NPI assigned
Jul 25, 2014
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Mrs. Michelle Button, LCSWNPI 1114084050
Title
Owner
Phone
(631) 941-1200

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 071106 NY Primary

Addresses

Primary practice location

348 Main St
Setauket, NY 11733-3800

Mailing address

348 Main St
Setauket, NY 11733-3800
Phone (631) 941-1200

National Provider Directory

National Provider Directory

Locations

33 Candee Ave
Sayville, NY 11782
Phone (631) 589-2211

348 Main St
Setauket, NY 11733
Phone (631) 487-8565

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1922416676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117333800",
            "telephone_number": "631-941-1200",
            "fax_number": "631-941-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MAIN ST",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117333800",
            "telephone_number": "631-941-1200",
            "fax_number": "631-941-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES WELLNESS & COUNSELING FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "BUTTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-941-1200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.