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PRINCESSA GERVAIS-AINE
NPI 1114416559
Social Worker - Clinical in Queens Village, NY

Active since May 01, 2018
21503 JAMAICA AVE # 1037, QUEENS VILLAGE, NY 11428(347) 635-4622 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2024, May 1, 2018 (2 updates tracked since 2018).

About Princessa Gervais-aine NPPES

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

PRINCESSA GERVAIS-AINE (NPI 1114416559) is an individual clinical provider in Queens Village, New York, licensed in New York (0996571) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1114416559
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePRINCESSA GERVAIS-AINE
Location Address21503 JAMAICA AVE # 1037Queens Village, NY 11428-1783
Mailing Address21503 Jamaica Ave # 1037Queens Village, NY 11428-1783 · (347) 635-4622
Phone(347) 635-4622
Sole ProprietorYes
Enumeration DateMay 1, 2018
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1114416559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 0996571
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 ListedSocial WorkerTaxonomy 104100000X · License 0996571 (NY)
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 0996571 (NY)
21503 JAMAICA AVE # 1037, Queens Village, NY 11428
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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 Princessa Gervais-aine's NPI number?

The NPI number for Princessa Gervais-aine is 1114416559. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Princessa Gervais-aine located?

Princessa Gervais-aine practices at 21503 Jamaica Ave # 1037, Queens Village, NY 11428. The listed phone number is (347) 635-4622.

What is Princessa Gervais-aine'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 Princessa Gervais-aine was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.