Affective Lcsw Services PLLC
NPI 1205257417ActiveOrganization· Social Worker, Clinical· Staten Island, NY
Social Worker, Clinical in Staten Island, New York, registered in NPPES in December 2013. The authorized official on file is Delsa Johnson Fauconier, LCSW-R, President/Ceo.
Overview
| NPI | 1205257417 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2013 |
| Last updated in NPPES | Aug 18, 2021 |
| Certified by provider | Aug 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 075416 | NY |
| Social Worker | 104100000X | 083062 | NY |
| Social Worker | 104100000X | 087435 | NY |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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