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ANTONIO DELANO WALCOTT JR. MHC-LP
NPI 1245695717
Counselor - Mental Health in Riverhead, NY

Active since December 28, 2015
208 ROANOKE AVE, RIVERHEAD, NY 11901(631) 369-0104 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio Delano Walcott Jr. Mhc-lp NPPES

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

ANTONIO DELANO WALCOTT JR. MHC-LP (NPI 1245695717) is an individual mental health provider in Riverhead, New York and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1245695717
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTONIO DELANO WALCOTT JR.Credential: MHC-LP
Location Address208 ROANOKE AVERiverhead, NY 11901-2706
Mailing Address10 Dover PlMastic, NY 11950-2220
Phone(631) 369-0104
Sole ProprietorYes
Enumeration DateDecember 28, 2015
✔ NPI 1245695717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
208 ROANOKE AVE, Riverhead, NY 11901
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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.

ANGELA SERAFICO
Student in an Organized Health Care Education/Training Program
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 998-1003
BRIANNE O'MALLEY
Counselor (Mental Health)
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 255-3657
MS. ELIZABETH PAIGE SMITH LMSW
Social Worker
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
ISABELLA ROSE MONTESANTO
Counselor
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 998-0025
PHOEBE BRENNER
Student in an Organized Health Care Education/Training Program
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 591-7577
JULIA PERAGALLO
Student in an Organized Health Care Education/Training Program
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 369-0104
ALEXANDRA TAYLOR POJE
Social Worker
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 998-1003
LUCILLE TERESE VAUGHAN FPS
Community Health Worker
208 ROANOKE AVE
RIVERHEAD, NY 11901
Suffolk County (631) 772-3287

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 Antonio Walcott's NPI number?

The NPI number for Antonio Walcott is 1245695717. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Antonio Walcott located?

Antonio Walcott practices at 208 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 369-0104.

What is Antonio Walcott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Antonio Walcott was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.