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MR. KENNETH C GAUGHRAN LMSW
NPI 1184201634
Social Worker - Clinical in Patchogue, NY

Active since March 29, 2021
475 E MAIN ST STE 100, PATCHOGUE, NY 11772(631) 286-8282 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kenneth C Gaughran Lmsw NPPES

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

MR. KENNETH C GAUGHRAN LMSW (NPI 1184201634) is an individual clinical provider in Patchogue, New York, licensed in New York (111646-01) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1184201634
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH C GAUGHRANCredential: LMSW
Location Address475 E MAIN ST STE 100Patchogue, NY 11772-3121
Mailing Address475 E Main St Ste 100Patchogue, NY 11772-3121 · (631) 651-6661
Phone(631) 286-8282
Sole ProprietorNo
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1184201634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 111646-01
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
475 E MAIN ST STE 100, Patchogue, NY 11772
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

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

KATELYNN DAMICO LCSW
Social Worker (Clinical)
475 E MAIN ST STE 100
EAST PATCHOGUE, NY 11772
Suffolk County (631) 286-8282
GEORGIE ANNE MANTOVANI MSW
Social Worker
475 E MAIN ST STE 100
PATCHOGUE, NY 11772
Suffolk County (631) 664-5788

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 Kenneth Gaughran's NPI number?

The NPI number for Kenneth Gaughran is 1184201634. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Kenneth Gaughran located?

Kenneth Gaughran practices at 475 E Main St Ste 100, Patchogue, NY 11772. The listed phone number is (631) 286-8282.

What is Kenneth Gaughran's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Kenneth Gaughran accept?

Health plans from Providence Health Plan list Kenneth Gaughran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Gaughran was last updated on March 29, 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.