NOURISH YOUR MIND, LLC - NPI 1649707555 - Social Worker in Monroe, NY

Q: What is Nourish Your Mind, LLC's NPI number?

The NPI number for Nourish Your Mind, LLC is 1649707555. It was assigned to this organization in the NPPES registry on May 23, 2017.

Q: What is Nourish Your Mind, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Nourish Your Mind, Llc NPPES

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

NOURISH YOUR MIND, LLC (NPI 1649707555) is a healthcare organization registered as a clinical in Monroe, New York and active in the NPI registry since May 2017. The organization lists Jessica C Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1649707555

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameNOURISH YOUR MIND, LLC

Location Address360 STATE ROUTE 17M STE 4Monroe, NY 10950-3444

Mailing Address360 State Route 17m Ste 4Monroe, NY 10950-3444 · (845) 547-0479 · Fax (845) 547-0479

Phone(845) 547-0479

Fax(845) 547-0479

Organization SubpartNo

Authorized OfficialJessica C SullivanOwner · (845) 547-0479

Enumeration DateMay 23, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1649707555 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 · 085591

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.

360 STATE ROUTE 17M STE 4, Monroe, NY 10950

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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

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

JEANETTE RIVERA LCSW

Social Worker (Clinical)