MEDICARE: INTEGRITY SOCIAL WORK SERVICES LLC

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	1041C0700X	Clinical Social Worker
2	261QM0850X	Adult Mental Health Clinic/Center
3	101YM0800X	Mental Health Counselor	071171	NY

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	:	1972715456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY SOCIAL WORK SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 141065
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-1065
Country	:	US
Telephone Number	:	800-277-4680
Fax Number	:	888-556-9797

Provider Business Practice Location Address
First Line	:	1110 SOUTH AVE STE 404
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3411
Country	:	US
Telephone Number	:	718-494-2858
Fax Number	:	718-494-5749

Authorized Official
Title or Position	:	OWNER
Name	:	MS. CLAUDETTE VIVIENE DUFF
Credential	:	LCSW
Telephone Number	:	718-494-2858

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	07/14/2025

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