A Mindful Practice LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0784091 Issued in NY

Legal business name

A MINDFUL PRACTICE LCSW PC

Practice address

37 N Ann St
Little Falls, NY 13365-1373

Phone

(315) 732-9371

NPI assigned

May 1, 2015

Last updated

May 1, 2015By 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

Melissa Gifford

Title

Billing Manager

Phone

(315) 732-9368

Specialties & licenses 1

Addresses

Locations

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.

• Kathleen Denise Sumner, P.T.

  • Physical Therapist
  • Little Falls, NY
  • NPI 1144393463
  NPD (past)

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1982081667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N ANN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N ANN ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651373",
            "telephone_number": "315-732-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MINDFUL PRACTICE LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "315-732-9368"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0784091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Adame, DO
• Afc Transport (Afc)
• Olga Agarkov, LPN
• Prabhat Ahluwalia, MD
• Joanne Amuso, LPN

• Clinical Social Worker in Little Falls, NY
• Providers in Little Falls, 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 May 1, 2015; 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.