Provider Demographics
NPI:1053481556
Name:COLLEGE POINT WELLNESS, LCSW, P.C.
Entity Type:Organization
Organization Name:COLLEGE POINT WELLNESS, LCSW, P.C.
Other - Org Name:COLLEGE POINT COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT , CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GIULIA
Authorized Official - Middle Name:MARTINA
Authorized Official - Last Name:TROJER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:347-804-8277
Mailing Address - Street 1:PO BOX 560021
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-0021
Mailing Address - Country:US
Mailing Address - Phone:347-804-8277
Mailing Address - Fax:
Practice Address - Street 1:1814 COLLEGE POINT BLVD
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-2241
Practice Address - Country:US
Practice Address - Phone:347-804-8277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0709221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty