MINDFUL THERAPY LCSW, PLLC (NPI# 1275014136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275014136 |
| Entity Type | Organization |
| Organization Name | MINDFUL THERAPY LCSW, PLLC |
| Practice Address |
2171 Jericho Turnpike Suite 335 Commack NY 11725 |
| Mailing Address |
5 Priory Ct Melville NY 11747-3914 |
| Practice Telephone | 6314867788 |
| Mailing Telephone | 9175961040 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | JANIS HOFFMAN (OWNER) |
| Authorized Official Telephone | 9175961040 |
| Authorized Official Credential | LCSWR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R058833-1 | NY | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MINDFUL THERAPY LCSW, PLLC | 5 Priory Court, Melville, Ny 11747 |
| Street Address |
2171 JERICHO TURNPIKE SUITE 335 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780778282 | Robert Alan Poch | Dentist | 2171 Jericho Turnpike, Commack, NY 11725 | 2006-10-02 |
| 1447382577 | Jill Kofler | Counselor | 2171 Jericho Turnpike, Suite 335, Commack, NY 11725 | 2007-03-12 |
| 1003954215 | Edward Nicholas Russo | Dentist | 2171 Jericho Turnpike, Suite # 145, Commack, NY 11725 | 2007-02-01 |
| 1578620225 | Marc Harris Grusensky | Psychiatry & Neurology | 2171 Jericho Turnpike, Suite 210, Commack, NY 11725 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| 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 |
|---|---|---|---|---|
| 1871109967 | Leslie Zanone | Social Worker | 354 Veterans Memorial Hwy Lowr Level, Commack, NY 11725-4331 | 2020-09-23 |
| 1801400940 | Alexander Nichoals Gurico | Social Worker | 11 Wesleyan Rd, Commack, NY 11725-2518 | 2020-09-05 |
| 1194215632 | Janis Hoffman Lcsw,pllc | Social Worker | 2171 Jericho Tpke Ste 335, Commack, NY 11725-2947 | 2018-05-10 |
| 1124528799 | Karen Ness Lcsw PC | Social Worker | 340 Veterans Memorial Hwy Ste 8, Commack, NY 11725-4300 | 2018-02-20 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1306269683 | Denise Ferrazano | Social Worker | 139 Hayrick Ln, Commack, NY 11725-1520 | 2014-01-22 |
| 1679842348 | Jessica Warish | Social Worker | 6 Diellen Ct, Commack, NY 11725 | 2011-12-23 |
| 1659659217 | Lindsay Nicole Eisaman | Social Worker | 42 Walter Court, Commack, NY 11725 | 2011-08-01 |
| 1548563083 | Sandi Frank | Social Worker | 18 Mohegan Ln, Commack, NY 11725-4226 | 2010-12-06 |
| 1831415264 | Donna Kathleen Trainor | Social Worker | 2171 Jerico Tpke-ll3, Commack, NY 11725 | 2010-04-09 |
| Find all providers in COMMACK | ||||
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| 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.