Healthcare Provider Details

I. General information

NPI: 1972715456
Provider Name (Legal Business Name): INTEGRITY SOCIAL WORK SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 SOUTH AVE STE 404
STATEN ISLAND NY
10314-3411
US

IV. Provider business mailing address

PO BOX 141065
STATEN ISLAND NY
10314-1065
US

V. Phone/Fax

Practice location:
  • Phone: 718-494-2858
  • Fax: 718-494-5749
Mailing address:
  • Phone: 800-277-4680
  • Fax: 888-556-9797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number071171
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CLAUDETTE VIVIENE DUFF
Title or Position: OWNER
Credential: LCSW
Phone: 718-494-2858