Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV
Active OrganizationSOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV is a Clinical Social Worker organization located in BROOKHAVEN, New York. NPI 1366684078 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BROOKHAVEN, NY
Registration Details
- NPI Number
- 1366684078
- Provider Type
- Organization
- NPI Issued
- Mar 26, 2009 (17.392659256005 yrs)
- Last Updated
- Apr 15, 2016
- License
-
075548-1 (NY)
Practice Information
- Address
-
36 EDGAR AVEBROOKHAVEN, NY, 117199655Browse NY providers · Browse ZIP 11719
- Phone
- 6312868282
- Fax
- 6318036793
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.