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THEODOR GERVAIS
NPI 1508603457
Social Worker - Clinical in Hempstead, NY

Active since July 09, 2024
303 MAIN ST APT 134, HEMPSTEAD, NY 11550(347) 863-1298 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodor Gervais NPPES

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

THEODOR GERVAIS (NPI 1508603457) is an individual clinical provider in Hempstead, New York, licensed in New Jersey (44SL06933000) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1508603457
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHEODOR GERVAIS
Location Address303 MAIN ST APT 134Hempstead, NY 11550-1442
Mailing Address303 Main St Apt 134Hempstead, NY 11550-1442
Phone(347) 863-1298
Sole ProprietorYes
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1508603457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SL06933000
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.
303 MAIN ST APT 134, Hempstead, NY 11550
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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 Theodor Gervais's NPI number?

The NPI number for Theodor Gervais is 1508603457. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Theodor Gervais located?

Theodor Gervais practices at 303 Main St Apt 134, Hempstead, NY 11550. The listed phone number is (347) 863-1298.

What is Theodor Gervais'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 Theodor Gervais was last updated on July 9, 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.