MEDICARE: THRIVE CREATIVE ARTS THERAPY, PLLC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1518633676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE CREATIVE ARTS THERAPY, PLLC

Provider Business Mailing Address
First Line	:	14 SYLVIA ST # A
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-3723
Country	:	US
Telephone Number	:	917-916-2730
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 SYLVIA ST # A
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-3723
Country	:	US
Telephone Number	:	917-916-2730
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	STEPHANIE SOCOLICK
Credential	:	LCAT, ATR-BC, MHC-LP
Telephone Number	:	917-916-2730

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	08/19/2021

Similar Medicare Providers

1023762135 — KASMONE WILLIAMS CAT-LP
Practice Location Address:

14 SYLVIA ST
STATEN ISLAND, NY
10312-3723

Practice Phone: 254-392-3847
Practice Fax:

1710972021 — THEODORE STRANGE MD
Practice Location Address:

68 SEGUINE AVE
STATEN ISLAND, NY
10309-3723

Practice Phone: 718-356-6500
Practice Fax:

1477526531 — MR. GERALD GENNARO DIMASO MD
Practice Location Address:

68 SEGUINE AVE
STATEN ISLAND, NY
10309-3723

Practice Phone: 718-356-6500
Practice Fax: 718-356-0348

1457367724 — SUSAN AMICO D.P.M.
Practice Location Address:

62 SEGUINE AVE STE 2
STATEN ISLAND, NY
10309-3723

Practice Phone: 718-317-7740
Practice Fax: 718-948-1090

1760777486 — GERALD DIMASO MDPC
Practice Location Address:

68 SEGUINE AVE
STATEN ISLAND, NY
10309-3723

Practice Phone: 718-356-6500
Practice Fax: 718-356-0348

1689929374 — HUGUENOT PODIATRY GROUP PC
Practice Location Address:

62 SEGUINE AVE UNIT 2
STATEN ISLAND, NY
10309-3723

Practice Phone: 718-948-3838
Practice Fax: 718-948-3838

Directions to “THRIVE CREATIVE ARTS THERAPY, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.