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MARY NG-TEDJASUKMANA, LCSW, PLLC

Company Details

Name: MARY NG-TEDJASUKMANA, LCSW, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 23 Jul 2014 (11 years ago)
Entity Number: 4611089
ZIP code: 12210
County: Kings
Place of Formation: New York
Address: ONE COMMERCE PLAZA, 99 WASHINGTON AVE., SUITE 805A, ALBANY, NY, United States, 12210

Agent

Name Role Address
INCORP SERVICES, INC. Agent ONE COMMERCE PLAZA, 99 WASHINGTON AVE., SUITE 805A, ALBANY, NY, 12210

DOS Process Agent

Name Role Address
INCORP SERVICES, INC. DOS Process Agent ONE COMMERCE PLAZA, 99 WASHINGTON AVE., SUITE 805A, ALBANY, NY, United States, 12210

National Provider Identifier

NPI Number:
1528583507

Authorized Person:

Name:
MRS. MARY NG-TEDJASUKMANA, LCSW, PLLC
Role:
PSYCHOTHERAPIST/ LIFE COACH
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2021-01-08 2021-02-22 Address 1863 W 8TH ST., BROOKLYN, NY, 11223, 2549, USA (Type of address: Service of Process)
2014-07-23 2021-01-08 Address 1863 W 8TH ST., FL. 1, BROOKLYN, NY, 11223, 2549, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220728003241 2022-07-28 BIENNIAL STATEMENT 2022-07-01
210222000292 2021-02-22 CERTIFICATE OF CHANGE 2021-02-22
210108060896 2021-01-08 BIENNIAL STATEMENT 2020-07-01
190114061243 2019-01-14 BIENNIAL STATEMENT 2018-07-01
141016000331 2014-10-16 CERTIFICATE OF PUBLICATION 2014-10-16

USAspending Awards / Financial Assistance

Date:
2020-05-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
14567.27
Total Face Value Of Loan:
14567.27

Paycheck Protection Program

Date Approved:
2020-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
14567.27
Current Approval Amount:
14567.27
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
14751.11

Date of last update: 25 Mar 2025

Sources: New York Secretary of State