CHRISTINA FERLISE-CLARK


Address: 206 Nichols Rd, Nesconset, NY 11767
Phone: 6315854855

CHRISTINA FERLISE-CLARK (NPI# 1538485511) 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) 1538485511
Entity Type Individual
Full Name CHRISTINA FERLISE-CLARK
Credential LCSWR
Practice Address 206 Nichols Rd
Nesconset
NY 11767
Practice Telephone 6315854855
Enumeration Date 2010-04-15
Last Update Date 2010-04-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker R059523 NY Behavioral Health & Social Service Providers

Office Location

Street Address 206 NICHOLS RD
City NESCONSET
State NY
Zip Code 11767

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1982843017 Sharon Frances Devivo Registered Nurse 45 Rockey Point Road, Middle Island, NY 11767 2009-02-12
1649429523 Justin Tate Occupational Therapist 14 Suburban Lane, Nesconset, NY 11767 2008-09-16
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1992978456 Independent Group Home Living Nursing Facility/Intermediate Care Facility 200 A Gibbs Pond Rd, Nesconset, NY 11767 2008-04-07
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1710109665 Chiropractic Associates of Long Island PC Chiropractor 195 Smithtown Blvd, Ste 105, Nesconset, NY 11767 2007-05-02
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

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1982205282 Stephanie Lopez Social Worker 85 Vista Ter S, Mahopac, NY 10541-3154 2020-11-03
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1760083299 Alena Nazarova Social Worker 7802 Bay Pkwy, Brooklyn, NY 11214-1508 2020-11-02
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Competitor

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City NESCONSET
Zip Code 11767

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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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