MACEDONIA SUPPORT NETWORK, INC. (NPI# 1912309402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912309402 |
| Entity Type | Organization |
| Organization Name | MACEDONIA SUPPORT NETWORK, INC. |
| Practice Address |
11341 Farmers Blvd Saint Albans NY 11412-2425 |
| Practice Telephone | 9142587547 |
| Mailing Telephone | 9142587547 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Authorized Official Name | DR. JAMES GORDON (PRESIDENT) |
| Authorized Official Telephone | 9142587547 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
11341 FARMERS BLVD |
| City | SAINT ALBANS |
| State | NY |
| Zip Code | 11412-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952761900 | Extended Hand Home Care | Home Health | 11341 Farmers Blvd, Saint Albans, NY 11412-2425 | 2016-03-03 |
| 1376945915 | James Antonio Gordon | Counselor | 11341 Farmers Blvd, Saint Albans, NY 11412-2425 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780901 | Emilsie Guerlaine Leconte | Licensed Practical Nurse | 19216 119th Ave, Saint Albans, NY 11412 | 2018-12-04 |
| 1124535554 | Pamela Ceclia Worrell-springer | Registered Nurse | 188-19 104th Ave, St. Albans, NY 11412 | 2018-01-08 |
| 1639681786 | Dr Bryant Medical Practice PC | Internal Medicine | 20515 Hollis Ave, Saint Albans, NY 11412 | 2017-10-30 |
| 1760907547 | Chudney Desarme | Licensed Practical Nurse | 190-24 111th Ave, Saint Albans, NY 11412 | 2017-08-14 |
| 1194266973 | Samantha Amanda Bailey | Licensed Practical Nurse | 117-35 195th Street, St Albans, NY 11412 | 2017-03-14 |
| 1659826543 | Rachel Colin | Nurse Practitioner | 109-02 201 Street, Jamaica, NY 11412 | 2016-08-20 |
| 1093173387 | Sharon Magwood | Specialist | 189-11 116th. Rd., 2nd. Fl, St.albans, NY 11412 | 2016-02-02 |
| 1790164374 | Wise Pharmacy LLC | Health Maintenance Organization | 189-01 Linden Blvd, Saint Albans, NY 11412 | 2015-05-28 |
| 1366833683 | Gordon's Cognitive Balance Center Inc | Community Health Worker | 113-41 Farmers Blvd, St. Albans, NY 11412 | 2015-02-09 |
| 1225458003 | Natasha Mcmillan | Student in an Organized Health Care Education/Training Program | 187-27 Dunkirk Dr, St. Albans, NY 11412 | 2014-04-21 |
| Find all providers in zip 11412 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275001810 | Belleissia Brown | Case Manager/Care Coordinator | 11554 200th St, Saint Albans, NY 11412-2833 | 2018-11-12 |
| 1073987335 | Janell Humphrey | Case Manager/Care Coordinator | 11530 198th St, Saint Albans, NY 11412-2829 | 2015-11-23 |
| 1720340581 | Toye Roberta Richardson-brown | Case Manager/Care Coordinator | 10411 200th St, Saint Albans, NY 11412-1221 | 2012-06-07 |
| 1467745539 | Darryl F Mauntel | Case Manager/Care Coordinator | 626 Box Elder Lane, Saint Albans, WV 25177-3387 | 2011-05-24 |
| 1023617545 | Margaret Susan Beard | Case Manager/Care Coordinator | 2558 Winfield Rd, Saint Albans, WV 25177-7804 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 11412 |
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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.