CONNIE SEPULVEDA


Address: 100 N Village Ave, Suite 39, Rockville Centre, NY 11570-3767
Phone: 5165467568

CONNIE SEPULVEDA (NPI# 1932251543) 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) 1932251543
Entity Type Individual
Full Name CONNIE SEPULVEDA
Credential LCSW
Practice Address 100 N Village Ave
Suite 39
Rockville Centre
NY 11570-3767
Mailing Address 775 Bonnie Dr
Baldwin
NY 11510-4522
Practice Telephone 5165467568
Mailing Telephone 5165467568
Enumeration Date 2007-01-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 029047-1 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 145717 VALUE OPTIONS 01

Office Location

Street Address 100 N VILLAGE AVE
SUITE 39
City ROCKVILLE CENTRE
State NY
Zip Code 11570-3767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740270396 Ellen Baruch-vogt Social Worker 100 N Village Ave, Suite 27, Rockville Centre, NY 11570-3767 2005-10-25
1619217650 Fanita Sanders Henderson Counselor 100 N Village Ave, Suite 17, Rockville Centre, NY 11570-3767 2013-02-28
1992051726 Shawn Lisa Torres Social Worker 100 N Village Ave, Suite 25, Rockville Centre, NY 11570-3767 2012-07-30
1093082240 Laurie Buelvas-kritas Social Worker 100 N Village Ave, Apt. 27, Rockville Centre, NY 11570-3767 2011-11-16
1609009489 Lisa Zakiya Newland Social Worker 100 N Village Ave, Suite # 15, Rockville Centre, NY 11570-3767 2009-08-27
1487835633 Colleen Clare Piazza Counselor 100 N Village Ave, Suite 26, Rockville Centre, NY 11570-3767 2007-11-15
1396930921 Lisa J Horelick Psychologist 100 N Village Ave, #36, Rockville Centre, NY 11570 2007-09-06
1215138037 Charlotte Klein Psychologist 100 N Village Ave, Suite 36, Rockville Centre, NY 11570-3767 2007-05-30
1871704932 John Crepsac Social Worker 100 N Village Ave, Rockville Centre, NY 11570-3767 2007-05-24
1912120908 Rhonda Sanders Stein Social Worker 100 N Village Ave, Suite 27, Rockville Centre, NY 11570-3767 2007-04-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811462419 Jessica Ilana Smuckler Occupational Therapist 90 S Park Ave Apt C2, Rockville Centre, NY 11570 2018-10-10
1356831309 Pure Medical Services PC Specialist 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 2018-05-15
1447766449 Licura, LLC Technician, Other 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 2017-12-28
1427505858 Shera M Goodridge Specialist 134 Shellbank Place, Rockville Center, NY 11570 2016-09-01
1669830634 Barbara Massina, Lcsw Clinic/Center 161 N Village Ave, Rockville Centre, NY 11570 2016-02-05
1972973428 Medscript Pharmacy LLC Pharmacy 180-184 Sunrise Highway, Rockville Centre, NY 11570 2015-09-28
1265813703 Jeffrey Michael Nozius Registered Nurse 1000 Hempstead Ave, Rockville Centre, NY 11570 2015-06-10
1568855971 Meredith Kreinbihl Counselor 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 2015-03-09
1174921647 Pamela Leake Behavioral Analyst 88 Hendrickson Ave, Rvc, NY 11570 2014-12-15
1467851584 Lisa Brown-eisel, Lcsw, P.C. Social Worker 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 2014-08-14
Find all providers in zip 11570

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508476912 Kimberlee R Sutton Social Worker 460 Coolidge Ave, Rockville Centre, NY 11570-3306 2020-08-01
1619595022 Kelly J Meyer Social Worker 46 Rockville Ave, Rockville Centre, NY 11570-5535 2020-07-12
1629690607 Helen Monica Crosley Social Worker 247 Maple Ave, Rockville Centre, NY 11570-4354 2020-05-12
1447882147 Maria Ostermann Social Worker 200 N Village Ave Ste 101, Rockville Centre, NY 11570-2300 2020-02-10
1184109845 Mariam Hazel Hager Social Worker 80 Banks Ave Apt 2315, Rockville Centre, NY 11570-3341 2018-09-28
1619417862 Ryan Albrecht Social Worker 46 Ongley St, Rockville Centre, NY 11570-5012 2017-03-06
1699037622 Georgina Devine Social Worker 2 Windham Rd, Rockville Centre, NY 11570-1224 2012-06-14
1235497843 Susan E. Powers-spoering Social Worker 26 Terrell Ave, Rockville Centre, NY 11570-5930 2012-05-02
1598074031 Catherine Cecere Lucas Social Worker 22 Argyle Pl, Rockville Centre, NY 11570-2839 2010-10-01
1801109863 Gloria Demaio - Herrera Social Worker 45 N Village Ave Ste 1b, Rockville Centre, NY 11570-4610 2010-07-20
Find all providers in ROCKVILLE CENTRE

Competitor

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City ROCKVILLE CENTRE
Zip Code 11570

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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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