NPI
New York Licensed Clinical Social Work, PC
Phone (866) 949-0108 · NPI 1669138699
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2021-11-15
- Last updated
- 2021-12-27
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 5 Bertram St
- City
- Islip NY
- Postal code
- 11751-1001
- Phone
- (866) 949-0108
Organization contact
- Name
- Kimberly Mann
- Title
- Credentialing Manager
- Phone
- (901) 422-7608
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Clinical Social Workers in Islip, NY. 12 with this primary taxonomy in the public file.
Other NPIs in Islip, NY. 440 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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