GLENDA CAROL BLACK (NPI# 1902301427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902301427 |
| Entity Type | Individual |
| Full Name | GLENDA CAROL BLACK |
| Credential | LMHC, CASAC-2 |
| Practice Address |
109 W 38th St Rm 303 New York NY 10018-3643 |
| Mailing Address |
100 E Hartsdale Ave Apt 3iw Hartsdale NY 10530-3971 |
| Practice Telephone | 2129608626 |
| Mailing Telephone | 6462382409 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| 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) |
31636 | NY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
007387 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194051888 | Glenda Elaine Black | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2009-10-30 |
| Street Address |
109 W 38TH ST RM 303 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10018-3643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144182 | Alyssa Sardis | Counselor | 109 W 38th St Rm 303, New York, NY 10018-3643 | 2020-04-30 |
| 1225662034 | Brielle Marie Nuzzo | Counselor | 109 W 38th St Rm 303, New York, NY 10018-3643 | 2020-03-02 |
| 1992291041 | Susana Lucero | Counselor | 109 W 38th St Rm 303, New York, NY 10018 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451325 | Nishi Sanjay Patel | Physical Therapist | 12 West 37th Street, Suite 1202, New York, NY 10018 | 2020-06-15 |
| 1962023168 | Brand Therapy Psychological Services PC | Psychologist | 50 West 39th St, Suite 305, New York, NY 10018 | 2020-04-29 |
| 1215587985 | Nicole Kosanke | Psychologist | 519 8th Avenue, 9th Floor, New York, NY 10018 | 2019-09-16 |
| 1487216073 | Roselaure Luca | Nurse Practitioner | 5 Bryant Park, 5th Floor, New York, NY 10018 | 2019-07-03 |
| 1609439942 | Kamiyama Physical Therapy Pllc | Physical Therapist | 1410 Broadway Concourse Level, New York, NY 10018 | 2019-04-22 |
| 1609339126 | Bryan I. Proano | Social Worker | 550 10th Ave., New York, NY 10018 | 2019-04-11 |
| 1053876318 | Nitzia Mariana Dacosta | Registered Nurse | 505 8th Ave Suite 200, New York, NY 10018 | 2019-01-31 |
| 1871060640 | Jose Jean Paul Miliano | Case Manager/Care Coordinator | 535 Eighth Avenue. 2nd Floor, New York, NY 10018 | 2018-10-30 |
| 1902372220 | Stephanie Lai | Social Worker | 550 Tenth Avenue, New York, NY 10018 | 2018-10-15 |
| 1528554912 | Positive Health Project, Inc. | Counselor | 301 W 37th St Fl 3, New York, NY 10018 | 2018-07-09 |
| Find all providers in zip 10018 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1801496237 | Vivian Martinez | Counselor | 200 W 108th St Apt 3f, New York, NY 10025-2947 | 2020-10-26 |
| 1124627989 | Sable Tempest Sweeper | Counselor | 31 West 34th Street, 7th Floor #7058, New York, NY 10001 | 2020-10-22 |
| 1083213144 | Isaiah David Putman | Counselor | 236 W 64th St Apt 2h, New York, NY 10023-6433 | 2020-10-20 |
| 1790383826 | Iris M Canales | Counselor | Gusatave L Levy Place, Mount Sinai Hospital, New York, NY 10029-6574 | 2020-10-12 |
| 1508463860 | Marley S Moreira-rivera | Counselor | 2578 Broadway # 507, New York, NY 10025-5642 | 2020-10-08 |
| 1629675194 | Colombage Asha De Costa | Counselor | 106 Fort Washington Ave Apt 3k, New York, NY 10032-4723 | 2020-10-07 |
| 1497352603 | Arlene Pineda | Counselor | 303 5th Ave Fl 14, New York, NY 10016-6601 | 2020-10-01 |
| Find all providers in NEW YORK | ||||
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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.