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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH ROBERT SERGIACOMI, L.M.S.W.

Active Sole Proprietor

MR. KENNETH ROBERT SERGIACOMI, L.M.S.W. is a Social Worker healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1336355395 is currently active in the NPPES registry. Verify at CMS.

Social Worker · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1336355395
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2007 (19.252769317867 yrs)
Last Updated
Oct 17, 2007
Licenses
0735881-1 (NY)
0735881-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1050 HALLOCK AVE
SUITE 4
PORT JEFFERSON STATION, NY, 117761214
Browse NY providers · Browse ZIP 11776
Phone
6313840624
Primary Specialty
Social Worker
104100000X
Additional Specialty
Counselor

Other Social Worker Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
MS. STACEY H. LEUCI LCSW 1801996178
MICHELLE CONELLI L.M.F.T., L.C.S.W. 1467590828
MS. MARIA GRAZIA MIGLIORE LMSW 1780861526
MRS. CHRISTINE STEGMAN LMSW 1154639011
JENNIFER ELIZABETH CRABBE LMSW 1790053627
MRS. CYNTHIA MARIE PICONE LMSW 1013343581
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.