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MINDFULLY RESTORED, LLC
NPI 1013653237
Social Worker - Clinical in Glendale, NY

Active since May 10, 2022
7835 74TH ST FL 2, GLENDALE, NY 11385(929) 277-7184 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mindfully Restored, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFULLY RESTORED, LLC (NPI 1013653237) is a healthcare organization registered as a clinical in Glendale, New York and active in the NPI registry since May 2022. The organization lists Chanelle Spencer, Owner, as its authorized official.

NPPES Registry Identity

NPI1013653237
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFULLY RESTORED, LLC
Location Address7835 74TH ST FL 2Glendale, NY 11385-7427
Mailing Address751 Linden Blvd, Ste A Pmb2051Brooklyn, NY 11203
Phone(929) 277-7184
Organization SubpartNo
Authorized OfficialChanelle SpencerOwner · (929) 277-7184
Enumeration DateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1013653237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
7835 74TH ST FL 2, Glendale, NY 11385
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindfully Restored, LLC's NPI number?

The NPI number for Mindfully Restored, LLC is 1013653237. It was assigned to this organization in the NPPES registry on May 10, 2022.

Where is Mindfully Restored, LLC located?

Mindfully Restored, LLC is located at 7835 74th St Fl 2, Glendale, NY 11385. The listed phone number is (929) 277-7184.

What is Mindfully Restored, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mindfully Restored, LLC was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.