Kokona Nissa Perry in Staten Island - Clinical
Kokona Nissa Perry - NPI 1447335583
Kokona Nissa Perry is a Clinical in Staten Island, New York. Kokona Nissa Perry practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kokona Nissa Perry is 1447335583. The last update date is 2007-07-08.
Kokona Nissa Perry's current location address is 121 Aviston St, Staten Island, New York. You can contact this provider via phone number 7187619800. The mailing address for Kokona Nissa Perry is 121 Aviston St, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kokona Nissa Perry |
|---|---|
| Address | 121 Aviston St, Staten Island, New York |
| Phone Number | 7187619800 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1447335583 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 121 Aviston St |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103065315 |
| Phone Number | 7187619800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 071613-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W22701 | NY | MAGELLAN | |
| 71613 | NY | -- |
Post Comment/ Review Below
What is the Kokona Nissa Perry's unique identification number?
The Kokona Nissa Perry has been assigned the NPI (National Provider Identifier) Number 1447335583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kokona Nissa Perry's physical address?
The Kokona Nissa Perry is physically located at 121 Aviston St, in the city of Staten Island, NY, with the postal code 103065315.
What is Kokona Nissa Perry's area of expertise and its corresponding taxonomy classification?
The Kokona Nissa Perry's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Kokona Nissa Perry receive its 1447335583 assignment?
The Kokona Nissa Perry was assigned its 1447335583 on 2006-10-26, which is the date when this unique identifier was issued to the organization.
When was the information related to Kokona Nissa Perry most recently updated or refreshed?
The details pertaining to the Kokona Nissa Perry, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.