MR. LIBERTY OSA IZEVBUWA MSW
NPI 1205250545
Counselor in Staten Island, NY

Active since February 06, 2014
119 TOMPKINS AVE, B-LEVEL, STATEN ISLAND, NY 10304(646) 385-2762(718) 303-8989 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Liberty Osa Izevbuwa Msw NPPES

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

MR. LIBERTY OSA IZEVBUWA MSW (NPI 1205250545) is an individual counselor in Staten Island, New York and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1205250545
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. LIBERTY OSA IZEVBUWACredential: MSW
Location Address119 TOMPKINS AVE, B-LEVELStaten Island, NY 10304-2601
Mailing Address119 Tompkins Ave, B-levelStaten Island, NY 10304-2601 · (646) 385-2762 · Fax (718) 303-8989
Fax(718) 303-8989
Sole ProprietorNo
Enumeration DateFebruary 6, 2014
Last NPPES UpdateMarch 10, 2014
NPI 1205250545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

119 TOMPKINS AVE, Staten Island, NY 10304

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
119 TOMPKINS AVE
STATEN ISLAND, NY 10304
Counselor
119 TOMPKINS AVE, BASEMENT
STATEN ISLAND, NY 10304
Social Worker
119 TOMPKINS AVE
STATEN ISLAND, NY 10304
Social Worker
119 TOMPKINS AVE
STATEN ISLAND, NY 10304
Social Worker
119 TOMPKINS AVE
STATEN ISLAND, NY 10304
Nurse Practitioner (Pediatrics)
119 TOMPKINS AVE
STATEN ISLAND, NY 10304
Counselor
119 TOMPKINS AVE
STATEN ISLAND, NY 10304
Social Worker (Clinical)
119 TOMPKINS AVE, B-LEVEL
STATEN ISLAND, NY 10304

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 Liberty Izevbuwa's NPI number?

The NPI number for Liberty Izevbuwa is 1205250545. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Where is Liberty Izevbuwa located?

Liberty Izevbuwa practices at 119 Tompkins Ave B-Level, Staten Island, NY 10304. The listed phone number is (646) 385-2762.

What is Liberty Izevbuwa's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Liberty Izevbuwa was last updated on March 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.