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CHILDERS PROFESSIONAL SERVICE LLC
NPI 1548705064
Social Worker - Clinical in Central Square, NY

Active since December 20, 2016
27 JOSHUA LN, CENTRAL SQUARE, NY 13036(315) 383-7531(315) 676-0014 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Childers Professional Service Llc NPPES

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

CHILDERS PROFESSIONAL SERVICE LLC (NPI 1548705064) is a healthcare organization registered as a clinical in Central Square, New York and active in the NPI registry since December 2016. The organization lists Daniel Joseph Childers, Director, as its authorized official.

NPPES Registry Identity

NPI1548705064
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCHILDERS PROFESSIONAL SERVICE LLC
Location Address27 JOSHUA LNCentral Square, NY 13036-2176
Mailing AddressPo Box738Brewerton, NY 13029 · (315) 383-7531 · Fax (315) 676-0014
Phone(315) 383-7531
Fax(315) 676-0014
Organization SubpartNo
Authorized OfficialDaniel Joseph ChildersDirector · (315) 383-7531
Enumeration DateDecember 20, 2016
✔ NPI 1548705064 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 NY · 0574061
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.
27 JOSHUA LN, Central Square, NY 13036
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Other Identifiers 1

Medicaid02426997NY

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 Childers Professional Service LLC's NPI number?

The NPI number for Childers Professional Service LLC is 1548705064. It was assigned to this organization in the NPPES registry on December 20, 2016.

Where is Childers Professional Service LLC located?

Childers Professional Service LLC is located at 27 Joshua Ln, Central Square, NY 13036. The listed phone number is (315) 383-7531.

What is Childers Professional Service 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 Childers Professional Service LLC was last updated on December 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.