Provider Demographics
NPI:1972715456
Name:INTEGRITY SOCIAL WORK SERVICES LLC
Entity type:Organization
Organization Name:INTEGRITY SOCIAL WORK SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDETTE
Authorized Official - Middle Name:VIVIENE
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-494-2858
Mailing Address - Street 1:PO BOX 141065
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-1065
Mailing Address - Country:US
Mailing Address - Phone:800-277-4680
Mailing Address - Fax:888-556-9797
Practice Address - Street 1:2381 HYLAN BLVD STE 13
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3145
Practice Address - Country:US
Practice Address - Phone:718-494-2858
Practice Address - Fax:718-494-5749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071171101YM0800X
1041C0700X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03982583Medicaid