MISS ROXANA MARISOL SERVELLON (NPI# 1477958676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477958676 |
| Entity Type | Individual |
| Full Name | MISS ROXANA MARISOL SERVELLON |
| Credential | LCSW, CASAC |
| Practice Address |
15 Bryant Ave Roslyn NY 11576-1134 |
| Practice Telephone | 5165478610 |
| Mailing Telephone | 5165478610 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2-22379 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
084222 | NY | Behavioral Health & Social Service Providers |
| Street Address |
15 BRYANT AVE |
| City | ROSLYN |
| State | NY |
| Zip Code | 11576-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790046050 | Lifenet Alert Systems, LLC | Emergency Response System Companies | 15 Bryant Ave, Roslyn, NY 11576-1134 | 2012-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075998 | Haley W Feit | Optometrist | 1085 Northern Blvd, Roslyn, NY 11576 | 2019-10-25 |
| 1346765187 | Fern Wendi Schanback | Counselor | 24 Mackay Way, Roslyn, NY 11576 | 2017-08-12 |
| 1932577574 | Soma Fit Physical Therapy Pllc | Physical Therapist | 55 Lumber Rd, Suite 105, Roslyn, NY 11576 | 2015-09-14 |
| 1679953699 | Linda D.r. Miller | Speech-Language Pathologist | 7 Woodland Road, Roslyn, NY 11576 | 2015-06-04 |
| 1629463450 | Angela Maria Taveras | Social Worker | 141 Old Northern Blvd, Rosalyn, NY 11576 | 2015-03-30 |
| 1043594922 | Robin Hananel | Speech-Language Pathologist | 29 The Oaks, Roslyn, NY 11576 | 2011-10-10 |
| 1073838207 | Lucille A Barker | Occupational Therapist | 1441old Northern Blvd, Roslyn, NY 11576 | 2010-03-31 |
| 1518100163 | Robert Eugene Goldberger | Surgery | 4 The Birches, Roslyn, NY 11576 | 2009-04-13 |
| 1336388461 | Sarah Lamattina | Counselor | 1441 Old Northern Boulevard, Roslyn, NY 11576 | 2009-02-12 |
| 1508001553 | Leslie Jane Brownstein | Speech-Language Pathologist | 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 | 2008-12-04 |
| Find all providers in zip 11576 | ||||
| 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 |
|---|---|---|---|---|
| 1558815175 | Meredith Miller | Social Worker | 22 Partridge Dr, Roslyn, NY 11576-2521 | 2016-08-11 |
| 1982853685 | Elaine Joyce Feldman | Social Worker | 161 E Broadway, Roslyn, NY 11576-2156 | 2008-09-17 |
| 1932380466 | Martine Amy Soren | Social Worker | 45 Oriole Drive, Roslyn, NY 11576 | 2007-11-27 |
| 1114135696 | Sarah L Rosen | Social Worker | 480 Old Wesbury Rd., Roslyn, NY 11577 | 2007-05-18 |
| 1538374301 | Dorothy Selverstone Slade | Social Worker | 1025 Northern Boulevard, Suite 106, Roslyn, NY 11576 | 2007-05-14 |
| 1770514317 | Jacqueline Ann Gold | Social Worker | 18 Davis Ln, Roslyn, NY 11576-2157 | 2006-07-05 |
| 1871589275 | Celia Merritt | Social Worker | 19 Teakwood Ln, Roslyn, NY 11576-2423 | 2005-09-21 |
| 1740829613 | Johanna Eve Schwartz | Social Worker | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-12-24 |
| 1750830964 | Eva Gerber | Social Worker | 1025 Northern Blvd, Suite300a, Roslyn, NY 11576-1506 | 2016-09-28 |
| 1649520677 | Susan Bouton Csw PC | Social Worker | 25 Wimbledon Dr, Roslyn, NY 11576-3084 | 2012-09-18 |
| Find all providers in ROSLYN | ||||
Please comment or provide details below to improve the information on MISS ROXANA MARISOL SERVELLON.
| 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.