KENSHO PSYCHOTHERAPY, LCSW, PLLC (NPI# 1205391018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205391018 |
| Entity Type | Organization |
| Organization Name | KENSHO PSYCHOTHERAPY, LCSW, PLLC |
| Practice Address |
41a W Merrick Rd Ste 2 Valley Stream NY 11580-5708 |
| Mailing Address |
14410 256th St Rosedale NY 11422-2543 |
| Practice Telephone | 3478687813 |
| Mailing Telephone | 7182083914 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | MRS. AMANDA FLUDD (OWNER) |
| Authorized Official Telephone | 7182083914 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1184822587 | 05 | |
| NY | BEACON | 938144 | 01 |
| Street Address |
41A W MERRICK RD STE 2 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205433869 | Jaclyn Bruno | Social Worker | 41a W Merrick Rd Ste 2, Valley Stream, NY 11580-5708 | 2020-10-07 |
| 1750909644 | Mind Meets Movement Counseling Services, Pllc | Clinic/Center | 41a W Merrick Rd Ste 2, Valley Stream, NY 11580-5708 | 2020-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139248 | Emily Schiffman | Social Worker | 24 Janet Pl, Valley Stream, NY 11581-2819 | 2019-08-12 |
| 1801377957 | Laura E Feren | Social Worker | 73 Wilson Rd, Valley Stream, NY 11581-3417 | 2018-08-27 |
| 1033607601 | Stacey Rizzuto | Social Worker | 1 Sylvan Pl Apt 1b, Valley Stream, NY 11581-1319 | 2018-04-28 |
| 1194212720 | Maria Lorena Cardona | Social Worker | 46 E Melrose St, Valley Stream, NY 11580-4611 | 2018-04-19 |
| 1316454903 | Hemmings Lcsw Counseling PC | Social Worker | 430 W Merrick Rd Ste 16, Valley Stream, NY 11580-5201 | 2018-01-04 |
| 1144744038 | Jean Santoro | Social Worker | 1031 Willow Ln, Valley Stream, NY 11580-7031 | 2017-08-01 |
| 1326477977 | Ronne B Rich | Social Worker | 828 Fanwood Ave, Valley Stream, NY 11581-3102 | 2013-11-04 |
| 1568708022 | Sulma Alvarado | Social Worker | 28 Charles St, Valley Stream, NY 11580-2217 | 2013-01-02 |
| 1679858948 | Joan S Salmon | Social Worker | 58 Roeckel Ave, Valley Stream, NY 11580-3502 | 2011-10-18 |
| 1922318799 | Arlene Rae Granoff | Social Worker | 45 Spruce Lane, Valley Stream, NY 11581 | 2010-10-14 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on KENSHO PSYCHOTHERAPY, LCSW, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.