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MR. OMAR ARCHIBALD
NPI 1891962304
Case Manager/Care Coordinator in Long Island City, NY

Active since May 14, 2008
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101(347) 510-3637 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Omar Archibald NPPES

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

MR. OMAR ARCHIBALD (NPI 1891962304) is an individual case manager/care coordinator provider in Long Island City, New York and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1891962304
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. OMAR ARCHIBALD
Location Address2976 NORTHERN BLVDLong Island City, NY 11101-2822
Mailing Address515 W 175th St Apt 3New York, NY 10033-8144 · (212) 781-1864
Phone(347) 510-3637
Sole ProprietorYes
Enumeration DateMay 14, 2008
✔ NPI 1891962304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2976 NORTHERN BLVD, Long Island City, NY 11101
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Other Identifiers 1

Medicaid02740141NY

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.

KATHERINE DEEGAN LMSW
Social Worker
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
KIYANNA SHANAY SAWYER LMSW
Social Worker
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
MR. GREGORY CIANCA LCSW
Social Worker
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
MRS. IFEYINWA SAKINA STEPHENS LMSW
Social Worker (Clinical)
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (929) 617-4483
DIANA PINEDA LMSW
Social Worker (Clinical)
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3681
JULIE ANNE MANNAS LMSW
Social Worker (Clinical)
2976 NORTHERN BLVD, 2ND FLR
LONG ISLAND CITY, NY 11101
Queens County (212) 691-7554
MADELINE GONZALEZ LMSW
Social Worker (Clinical)
2976 NORTHERN BLVD, 2ND FLR
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3649
ARIEL ORLANDO RAMOS CASAC 2
Counselor (Addiction (Substance Use Disorder))
2976 NORTHERN BLVD
LONG ISLAND CITY, NY 11101
Queens County (347) 510-3622

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 Omar Archibald's NPI number?

The NPI number for Omar Archibald is 1891962304. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Omar Archibald located?

Omar Archibald practices at 2976 Northern Blvd, Long Island City, NY 11101. The listed phone number is (347) 510-3637.

What is Omar Archibald's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Omar Archibald was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.