Active NPI
Striving to Restore, Psychotherapy Services LCSW, PLLC
- Clinical Social Worker
- Goshen, NY
National Provider Identifier
1962990507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- STRIVING TO RESTORE, PSYCHOTHERAPY SERVICES LCSW, PLLC
- Practice address
- 60 Erie St Ste 403
Goshen, NY 10924-1531 - Phone
- (845) 222-5679
- NPI assigned
- Apr 30, 2018
- 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
- Angela Perales, LCSW
- Title
- Owner
- Phone
- (845) 222-5679
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
60 Erie St Ste 403
Goshen, NY 10924-1531
Mailing address
800 Woodhills Dr Apt 811
Goshen, NY 10924-1464
Phone (845) 222-5679
National Provider Directory
National Provider DirectoryLocations
60 Erie St
Ste 403
Goshen, NY 10924
Phone (845) 222-5679
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Goshen, NY
- NPI 1942465059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552521600000",
"number": "1962990507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WOODHILLS DR APT 811",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241464",
"telephone_number": "845-222-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 ERIE ST STE 403",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241531",
"telephone_number": "845-222-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIVING TO RESTORE, PSYCHOTHERAPY SERVICES LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-30",
"last_updated": "2019-03-14",
"status": "A",
"authorized_official_last_name": "PERALES",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-222-5679",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.