AMANDA DE JESUS


Address: 3611 21st St, Long Island City, NY 11106-4705
Phone: 7184827772

AMANDA DE JESUS (NPI# 1396985438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396985438
Entity Type Individual
Full Name AMANDA DE JESUS
Credential LCSW
Practice Address 3611 21st St
Long Island City
NY 11106-4705
Mailing Address 60 Madison Ave
5th Floor
New York
NY 10010-1600
Practice Telephone 7184827772
Practice Fax Number 7184829648
Mailing Telephone 2125452400
Mailing Fax Number 6463120481
Enumeration Date 2009-03-03
Last Update Date 2016-03-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
076251-1 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00695941 05

Other Providers AMANDA DE JESUS

NPI Name Taxonomy Address Enumeration
1629442884 Amanda De Jesus Registered Nurse 675 3rd Ave Fl 5, New York, NY 10017-5731 2015-11-25

Office Location

Street Address 3611 21ST ST
City LONG ISLAND CITY
State NY
Zip Code 11106-4705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942248380 Sabrina Nilufar Obstetrics & Gynecology 3611 21st St, Long Island City, NY 11106-4705 2006-06-04
1528671930 Aneela Naz Nurse Practitioner 3611 21st St, Long Island City, NY 11106-4705 2020-08-25
1184289746 Madeleine Amdur Social Worker 3611 21st St, Long Island City, NY 11106-4705 2019-05-08
1720581697 Community Healthcare Network, Inc. Pharmacy 3611 21st St, Long Island City, NY 11106 2018-03-16
1518489822 Concepcion Alejandra Bulo Dietitian, Registered 3611 21st St, Long Island City, NY 11106-4705 2017-07-10
1730422445 Eduardo Morales Family Medicine 3611 21st St, Long Island City, NY 11106-4705 2013-04-01
1275873804 Safiyyah Maryam Okoye Nurse Practitioner 3611 21st St, Long Island City, NY 11106-4705 2013-02-19
1124319991 Nancy Jade Lee Pediatrics 3611 21st St, Long Island City, NY 11106-4705 2011-04-27
1942436597 Pamela E Apolaya Internal Medicine 3611 21st St, Long Island City, NY 11106-4705 2009-06-09
1033353685 Erica K Hahn Nurse Practitioner 3611 21st St, Long Island City, NY 11106-4705 2009-04-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700492303 Faizal Hussein Physical Therapist 3244 31st Street, Queens, NY 11106 2020-09-18
1730706086 Stephanie J Coleman Counselor Enable My Child, 3545 28 St, Astoria, NY 11106 2020-07-02
1144870056 Theresa Pizinger Nurse Practitioner 3157 31st St, Phf, Long Island City, NY 11106 2019-09-13
1881164564 Adam Christopher Maslowski Social Worker 34-11 Vernon Blvd., Long Island City, NY 11106 2018-11-26
1730675273 Astoria Dental Broadway Dentist 31-72 31st St, Suite #1, Astoria, NY 11106 2018-07-09
1225552037 Joslynn Ramos Social Worker 14-15 Broadway, Astoria, NY 11106 2017-08-02
1790208791 Sheilla Jean Baptiste Hadid Prevention Professional 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 2017-07-21
1396267225 Serena Cisneros Counselor 34-25 Vernon Blvd, Long Island City, NY 11106 2017-07-12
1538689302 Dara Michelle Lazar Massage Therapist 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 2017-06-22
1093241143 Kimlong Chan Student in an Organized Health Care Education/Training Program 2320 31st Avenue, Astoria, NY 11106 2017-05-11
Find all providers in zip 11106

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144837576 Rachel Reid Social Worker 3975 47th St Apt 1, Long Island City, NY 11104-1419 2020-09-29
1366005076 Gloria Choi Social Worker 4121 28th St Apt 3a, Long Island City, NY 11101-3741 2019-04-18
1447609839 Herbert Feuer Social Worker 4461a 11th St, Long Island City, NY 11101-5102 2016-06-07
1225452428 Dennise Laboy Social Worker 11-43 47th Avenue, Long Island City, NY 11001 2014-02-07
1619291465 Samantha Jane Gordon Dresser Social Worker 495 48th Ave, Apt 3e, Long Island City, NY 11109-5535 2010-03-23
1467695478 Erica Lynne Smith Social Worker 535 47th Rd Apt 2l, Long Island City, NY 11101-5537 2009-04-07
1033364492 Amy Chan Social Worker 2728 Thomson Ave Unit 543, Long Island City, NY 11101-2941 2008-11-25
1588830897 Erin Ihlo Langus Social Worker 36-11 21st Street, Long Island City, NY 11106-4505 2008-05-06
1518141332 Jessica S Berlin Social Worker 2215 43rd Ave, Steinway Child and Family Services, Long Island City, NY 11101-5018 2007-12-28
1992857171 Jessica A Glass Social Worker 29-76 Northern Blvd, Long Island City, NY 11101-3647 2007-01-17
Find all providers in LONG ISLAND CITY

Competitor

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City LONG ISLAND CITY
Zip Code 11106

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Dataset Information

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.

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