Organization Active NPI

Striving to Restore, Psychotherapy Services LCSW, PLLC

  • Clinical Social Worker
  • Goshen, NY
National Provider Identifier
1962990507
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Angela Perales, LCSWNPI 1942465059
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.