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NPI Code Detail

MEDICARE: OHEL CHILDREN'S HOME AND FAMILY SERVICES, INC.

MEDICARE: OHEL CHILDREN'S HOME AND FAMILY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorP61499
2101YM0800XMental Health Counselor
3103T00000XPsychologist010451-1
4103T00000XPsychologist008625-1
5103T00000XPsychologistP68013
6104100000XSocial WorkerR027640-1
7104100000XSocial WorkerR029898
8104100000XSocial WorkerR033784-1
91041C0700XClinical Social WorkerR023015-1
101041C0700XClinical Social Worker63197
111041C0700XClinical Social WorkerR050237-1
121041C0700XClinical Social Worker078552-1
131041C0700XClinical Social Worker066002-1
14251S00000XCommunity/Behavioral Health Agency7637100ANY
15103T00000XPsychologist17626

General Provider Information

NPI Number : 1043468804
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHEL CHILDREN'S HOME AND FAMILY SERVICES, INC.
Provider Business Mailing Address
First Line : 156 BEACH 9TH STREET
Second Line : SUITE C
City : FAR ROCKAWAY
State : NY
Zip : 11691-5636
Country : US
Telephone Number : 347-695-9700
Fax Number : 347-695-9701
Provider Business Practice Location Address
First Line : 156 BEACH 9TH STREET
Second Line : SUITE C
City : FAR ROCKAWAY
State : NY
Zip : 11691-5636
Country : US
Telephone Number : 347-695-9700
Fax Number : 347-695-9701
Authorized Official
Title or Position : SENIOR CLINIC ADMIN MANAGER
Name : DEBORAH GORIN
Credential :
Telephone Number : 718-382-0045
Provider Enumeration Date : 09/05/2008
Last Update Date : 08/08/2023

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