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KAITLYN MCCLINTOCK LMSW
NPI 1124614995
Social Worker in Coram, NY

Active since December 16, 2020
3600 ROUTE 112, CORAM, NY 11727(631) 920-8630 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2021, Dec 16, 2020 (2 updates tracked since 2020).

About Kaitlyn Mcclintock Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN MCCLINTOCK LMSW (NPI 1124614995) is an individual social worker in Coram, New York, licensed in New York (111077-01) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1124614995
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKAITLYN MCCLINTOCKCredential: LMSW
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address3600 Route 112Coram, NY 11727-4116 · (631) 920-8630
Phone(631) 920-8630
Sole ProprietorYes
Enumeration DateDecember 16, 2020
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1124614995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 111077-01
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3600 ROUTE 112, Coram, NY 11727
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL FERNANDES
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
ANNE KIRKHAM
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
JENNIFER HATFIELD
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (630) 920-8500
TRAVIS J WINGATE
Day Training/Habilitation Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8520
JENNIFER WILLA SIEGFRIED
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
SHANNON TIERNEY
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8610
ROSE PRISCILLA SANCHEZ
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
NATHALY ESTRADA
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Mcclintock's NPI number?

The NPI number for Kaitlyn Mcclintock is 1124614995. It was assigned to this individual provider in the NPPES registry on December 16, 2020.

Where is Kaitlyn Mcclintock located?

Kaitlyn Mcclintock practices at 3600 Route 112, Coram, NY 11727. The listed phone number is (631) 920-8630.

What is Kaitlyn Mcclintock's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kaitlyn Mcclintock was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.