Provider Demographics
NPI:1619998739
Name:NORTH VILLAGE COUNSELING & SOCIAL WORK
Entity Type:Organization
Organization Name:NORTH VILLAGE COUNSELING & SOCIAL WORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINKRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MS, CASAC, MAC
Authorized Official - Phone:516-536-2797
Mailing Address - Street 1:45 N VILLAGE AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4610
Mailing Address - Country:US
Mailing Address - Phone:516-536-2797
Mailing Address - Fax:516-536-7771
Practice Address - Street 1:45 N VILLAGE AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4610
Practice Address - Country:US
Practice Address - Phone:516-536-2797
Practice Address - Fax:516-536-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3746101YA0400X
12504101YA0400X
NY000112-1101YM0800X
NY000511-1101YM0800X
NYR039668-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY361349OtherMHN GROUP PROVIDER NUMBER
NYWWW.NATIONALEAP.COMOtherMEMBER OF CLINICIAN NETWO