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1861465239

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
1	104100000X	Social Worker	R053970-1
2	104100000X	Social Worker	073505-1
3	104100000X	Social Worker	069769-1
4	104100000X	Social Worker	R027640-1
5	104100000X	Social Worker	R029898
6	103T00000X	Psychologist	010451-1
7	101Y00000X	Counselor	P61499
8	101YM0800X	Mental Health Counselor	03B0608	NY
9	104100000X	Social Worker	R056319-1
10	104100000X	Social Worker	07468-1
11	104100000X	Social Worker	69478
12	1041C0700X	Clinical Social Worker	R023015-1
13	1041C0700X	Clinical Social Worker	63197
14	251S00000X	Community/Behavioral Health Agency
15	104100000X	Social Worker	070365-1

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861465239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHEL CHILDREN'S HOME AND FAMILY SERVICES, INC.

Provider Business Mailing Address
First Line	:	1268 E 14TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5241
Country	:	US
Telephone Number	:	718-382-0045
Fax Number	:	718-382-0051

Provider Business Practice Location Address
First Line	:	1268 E 14TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5241
Country	:	US
Telephone Number	:	718-382-0045
Fax Number	:	718-382-0051

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DEBBIE GORIN
Credential	:
Telephone Number	:	718-382-0045

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	01/23/2020

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Directions to “OHEL CHILDREN'S HOME AND FAMILY SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

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