BLUE HARBOR PSYCHOTHERAPY LCSW, PLLC (NPI# 1316579238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316579238 |
| Entity Type | Organization |
| Organization Name | BLUE HARBOR PSYCHOTHERAPY LCSW, PLLC |
| Practice Address |
112 W 34th St Fl 17 New York NY 10120-0001 |
| Practice Telephone | 6464701891 |
| Practice Fax Number | 7187449755 |
| Mailing Telephone | 6464701891 |
| Mailing Fax Number | 7187449755 |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-02-08 |
| Authorized Official Name | LLOYD FIDER (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 6464701891 |
| Authorized Official Credential | LCSW |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BLUE HARBOR PSYCHOTHERAPY LCSW, PLLC | 112 West 34th Street, 17th Fl, New York, New York 10120 |
| Street Address |
112 W 34TH ST FL 17 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10120-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396151528 | Lloyd Fider | Social Worker | 112 W 34th St Fl 17, New York, NY 10120 | 2014-07-09 |
| 1922630466 | Xuan T Tran-walsh | Social Worker | 112 W 34th St Fl 17, New York, NY 10120-0001 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053805317 | Aideco Staffing, Inc. | In Home Supportive Care | 112 West 34th Street, Floors 17 and 18, New York, NY 10120 | 2018-06-20 |
| 1457838039 | Wave Counseling Lcsw | Clinic/Center | 112 W 34th St Fl 18, New York, NY 10120-0001 | 2018-07-25 |
| 1639709538 | Medstar Surgical & Breathing Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 112 W 34th St # 18069, New York, NY 10120-0101 | 2020-01-19 |
| 1366969800 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 112 W 34th St, New York, NY 10120-0101 | 2017-08-25 |
| 1811346513 | Marisa Cohen | Speech-Language Pathologist | 112 West 34th Street, New York, NY 10120-0101 | 2016-06-03 |
| 1295369569 | Ryan Thomas Paolino | Pharmacist | 112 W 34th St, New York, NY 10120-0101 | 2020-02-26 |
| 1497312359 | John Pallis | Pharmacist | 112 W 34th St, New York, NY 10120-0101 | 2019-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689490 | Rebecca Papa | Speech-Language Pathologist | 219 E 66th St Apt 2a, New York, NY 10065-6430 | 2020-11-08 |
| 1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1154922920 | Lamarr-renee Eanes | Doula | 116 W 72nd St Apt 3a, New York, NY 10023-3323 | 2020-11-06 |
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
| 1295336261 | Janet Esmas | Registered Nurse | 200 Haven Ave Apt 5r, New York, NY 10033-5308 | 2020-11-05 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| Find all providers in NEW YORK | ||||
| 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 |
|---|---|---|---|---|
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1316546807 | Nicole D'angelo | Social Worker | 511 E 81st St Apt 11, New York, NY 10028-2512 | 2020-10-26 |
| 1730788993 | Nancy Bacher | Social Worker | 1770 Madison Ave, New York, NY 10035-4787 | 2020-10-20 |
| 1346849676 | Marlene St. Vil Darbouze | Social Worker | 156 W 119th St Apt 1, New York, NY 10026-1354 | 2020-10-19 |
| 1720686702 | Elizabeth Orent | Social Worker | 310 E 23rd St Apt 6c, New York, NY 10010-4703 | 2020-10-13 |
| 1548868607 | Prescott Psychotherapy Wellness Lcsw Pllc | Social Worker | 285 Lexington Ave Fl 2a, New York, NY 10016-3592 | 2020-10-12 |
| 1003413410 | Caprice Royal, Lcsw P.l.l.c | Social Worker | 368 Saint Nicholas Ave Apt 2a, New York, NY 10027-7678 | 2020-10-08 |
| 1669079364 | Nina Michelle Libson | Social Worker | 405 E 14th St Apt 6e, New York, NY 10009-2703 | 2020-10-06 |
| 1588279954 | Robert Mladinich | Social Worker | 6 Stuyvesant Oval Apt 5g, New York, NY 10009-2416 | 2020-09-13 |
| Find all providers in NEW YORK | ||||
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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.