BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C (NPI# 1881039022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881039022 |
| Entity Type | Organization |
| Organization Name | BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C |
| Practice Address |
6143 186th St Fresh Meadows NY 11365-2710 |
| Mailing Address |
20417 Hillside Ave Suite 309 Hollis NY 11423-2213 |
| Practice Telephone | 3475063986 |
| Practice Fax Number | 7184752122 |
| Mailing Telephone | 3475063968 |
| Mailing Fax Number | 7184752122 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MS. DOROTHY FRAZIER (DIRECTOR) |
| Authorized Official Telephone | 7184153832 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R0383781 | NY | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C. | 204-17 Hillside Ave Suite #309, Hollis, New York 11423 |
| Street Address |
6143 186TH ST |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992847594 | Carrie Uhl- Butler | Speech-Language Pathologist | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2007-02-12 |
| 1568062008 | Emiola Dele-michael | Counselor | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2020-10-26 |
| 1942815543 | Carrie Uhl LLC | Speech-Language Pathologist | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2020-09-10 |
| 1982217774 | Danielle Santos | Specialist | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2020-08-31 |
| 1174131429 | Latesha L White | Art Therapist | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2020-07-22 |
| 1679191365 | Let's Start With Play | Early Intervention Provider Agency | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2020-07-08 |
| 1043859879 | Nicole Leslie Pankin | Specialist | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2019-12-26 |
| 1811541535 | Alicia Melendez | Specialist | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2019-07-31 |
| 1124685557 | Alicia Toyna Brown | Social Worker | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2019-05-21 |
| 1366007429 | Keidra P Baird | Specialist | 6143 186th St, Fresh Meadows, NY 11365-2710 | 2019-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| 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 |
|---|---|---|---|---|
| 1770918682 | Robert Savitt | Social Worker | 176-16 76th Avenue, Fresh Meadows, NY 11366 | 2013-09-10 |
| 1568616639 | Angel Louis Cuevas | Social Worker | 7575 184th St, Fresh Meadows, NY 11366-1714 | 2008-11-15 |
| 1992915763 | Sybil Durina Nurse-reeves | Social Worker | 61-43 186th Street, Fresh Meadows, NY 11365 | 2007-05-23 |
| 1336217397 | Mitchell Berk | Social Worker | 18417 Union Tpke, Fresh Meadows, NY 11366-1729 | 2006-11-30 |
| 1942375829 | Julie Hilary Abada | Social Worker | 17016 77th Rd, Fresh Meadows, NY 11366-1302 | 2006-11-23 |
| 1639705353 | Donald J Decker | Social Worker | 7810 164th St, Fresh Meadows, NY 11366-1229 | 2020-03-13 |
| 1609428770 | Vibrant Women Wellness Counseling, Lcsw, Pllc | Social Worker | 7580 184th St, Fresh Meadows, NY 11366-1715 | 2019-07-09 |
| 1831756774 | Graceann Corp | Social Worker | 15916 Union Tpke, Ste 325, Fresh Meadows, NY 11366-1963 | 2019-05-28 |
| 1003368879 | Ayelet P Goldberg, Lcsw, Pllc | Social Worker | 6143 186th St Ste 312, Fresh Meadows, NY 11365-2710 | 2016-10-27 |
| 1619323920 | Ana Artiga | Social Worker | 6725 188th St, Fresh Meadows, NY 11365-3767 | 2016-05-05 |
| Find all providers in FRESH MEADOWS | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
Please comment or provide details below to improve the information on BLUE HAVEN CONFIDENTIAL COUNSELING AND PSYCHOTHERAPY SERVICES LCSW P.C.
| 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.