EDWARDS MENTORING AND SOCIAL SERVICES, LMSW, P.L.L.C. (NPI# 1366986812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366986812 |
| Entity Type | Organization |
| Organization Name | EDWARDS MENTORING AND SOCIAL SERVICES, LMSW, P.L.L.C. |
| Other Organization Name | EDWARDS MENTORING |
| Practice Address |
19005 122nd Ave Suite A Springfield Gardens NY 11413-1010 |
| Practice Telephone | 6468245737 |
| Mailing Telephone | 6468245737 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |
| Authorized Official Name | MR. LARRY D EDWARDS (FOUNDER / DIRECTOR) |
| Authorized Official Telephone | 6468245737 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 092982 | NY | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 092982 | NY | Other Service Providers |
| N | 251B00000X | Case Management | 092982 | NY | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 092982 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1699170365 | 05 |
| Other Name | Type Code |
|---|---|
| Edwards Mentoring | Doing Business As Name - Organization |
| Street Address |
19005 122ND AVE SUITE A |
| City | SPRINGFIELD GARDENS |
| State | NY |
| Zip Code | 11413-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699170365 | Larry Edwards | Counselor | 19005 122nd Ave, Suite A, Springfield Gardens, NY 11413-1010 | 2014-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327054 | Mireille Conserve | Licensed Practical Nurse | 226 145th Ave, Spring Field, NY 11413 | 2019-10-08 |
| 1619433208 | Taina Baker | Nurse Practitioner | 143-71 229th Street, Springfield Gardens, NY 11413 | 2019-02-19 |
| 1942764915 | Jacqueline Archer | Registered Nurse | 2212 145 Road, Springfiled Gardens, NY 11413 | 2019-01-24 |
| 1841709524 | Sandra Williams | Specialist | 145-79 223 St, Springfield Gardens, NY 11413 | 2017-09-25 |
| 1508375478 | Tamara Williams | Registered Nurse | 142-29 231 St, Springfield Gardens, NY 11413 | 2017-09-23 |
| 1184140113 | Igbans Home Care Services | Home Health | 21834 139 Avenue, Springfield Gardens, NY 11413 | 2017-08-22 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1174061741 | Assured Home Companion Care Inc | Home Health | 13519 221st St, Laurelton, NY 11413 | 2017-02-03 |
| 1831631084 | Grace Elizabeth Jaramillo | Home Health | 135-11 229 Street, Ph, Laurelton, NY 11413 | 2016-11-04 |
| 1720530504 | Nadine Gordon | Licensed Practical Nurse | 182 03 143rd Ave, Springfield Garden, NY 11413 | 2016-10-27 |
| Find all providers in zip 11413 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538152 | Monette Counseling Services LLC | Community/Behavioral Health | 159 Margaret St Ste 225, Plattsburgh, NY 12901-1874 | 2020-11-06 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1407462948 | Shawn Muthersbaugh Lcsw Pllc | Community/Behavioral Health | 120 Defreest Dr Ste 175, Troy, NY 12180-7608 | 2020-09-21 |
| 1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
| 1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
| 1831701630 | Debra L. Terry Lcsw, P.C. | Community/Behavioral Health | 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 | 2020-08-21 |
| 1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
| 1598383796 | Chemung-schuyler Counties Chapter, Nysarc, Inc. | Community/Behavioral Health | 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 | 2020-07-14 |
| 1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
| 1043836943 | Cornerstone Behavioral Services, LLC. | Community/Behavioral Health | 3670 Orchard Rd, Wantagh, NY 11793-3131 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD GARDENS |
| Zip Code | 11413 |
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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.