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AFFECTIVE LCSW SERVICES
NPI 1205257417
Social Worker - Clinical in Staten Island, NY

Active since December 16, 2013
97 BUSH AVE, STATEN ISLAND, NY 10303(347) 788-3775(718) 420-1032 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Affective Lcsw Services NPPES

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

AFFECTIVE LCSW SERVICES (NPI 1205257417) is a healthcare organization registered as a clinical in Staten Island, New York and active in the NPI registry since December 2013. The organization lists Delsa Johnson Fauconier, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1205257417
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAFFECTIVE LCSW SERVICES PLLC
Location Address97 BUSH AVEStaten Island, NY 10303-2215
Mailing Address97 Bush AveStaten Island, NY 10303-2215 · (347) 788-3775 · Fax (718) 420-1032
Phone(347) 788-3775
Fax(718) 420-1032
Organization SubpartNo
Authorized OfficialDelsa Johnson FauconierPresident/ceo · (347) 788-3775
Enumeration DateDecember 16, 2013
Last NPPES UpdateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1205257417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 075416
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 083062 (NY), 087435 (NY)
97 BUSH AVE, Staten Island, NY 10303
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Other Names 1

Doing Business AsAffective Lcsw Services

Other Identifiers 1

Medicaid03546563NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. TARSHEA SHARREL LUMA
Marriage & Family Therapist
97 BUSH AVE
STATEN ISLAND, NY 10303
Richmond County (347) 788-3775

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 Affective Lcsw Services PLLC's NPI number?

The NPI number for Affective Lcsw Services PLLC is 1205257417. It was assigned to this organization in the NPPES registry on December 16, 2013. The provider is doing business as Affective Lcsw Services.

Where is Affective Lcsw Services PLLC located?

Affective Lcsw Services PLLC is located at 97 Bush Ave, Staten Island, NY 10303. The listed phone number is (347) 788-3775.

What is Affective Lcsw Services PLLC'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 Affective Lcsw Services PLLC was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.