Healthcare Provider Details

I. General information

NPI: 1598173270
Provider Name (Legal Business Name): PERSPECTIVES COUNSELING LICENSED CLINICAL SOCIAL WORKER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2014
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 SANTA BARBARA DR
PLAINVIEW NY
11803-5815
US

IV. Provider business mailing address

329 S OYSTER BAY RD # 500
PLAINVIEW NY
11803-3301
US

V. Phone/Fax

Practice location:
  • Phone: 516-349-1708
  • Fax: 516-349-1708
Mailing address:
  • Phone: 516-349-1708
  • Fax: 516-349-1708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR053374-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. PAMELA PRICE-LERNER
Title or Position: ONWER
Credential: RLCSW
Phone: 516-349-1708