Provider Demographics
NPI:1821200999
Name:UNITING HANDS COUNSELING & CONSULTATION SERVICES JAVIER MATOS LCSW PC
Entity Type:Organization
Organization Name:UNITING HANDS COUNSELING & CONSULTATION SERVICES JAVIER MATOS LCSW PC
Other - Org Name:JAVIER M. MATOS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:MILTON
Authorized Official - Last Name:MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-366-6252
Mailing Address - Street 1:60-14 60TH STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-3410
Mailing Address - Country:US
Mailing Address - Phone:718-366-6252
Mailing Address - Fax:718-366-6253
Practice Address - Street 1:60-14 60TH STREET
Practice Address - Street 2:SUITE B
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-3410
Practice Address - Country:US
Practice Address - Phone:718-366-6252
Practice Address - Fax:718-366-6253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0694111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02209263Medicaid
NY1275559965OtherINDIVIDUAL NPI
NY02209263Medicaid