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LIVE WELL PSYCHOTHERAPY LCSW PLLC
NPI 1245995372
Social Worker - Clinical in Farmingdale, NY

Active since November 03, 2021
100 BROADHOLLOW RD STE 108, FARMINGDALE, NY 11735(631) 769-7763(631) 769-7763 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2021, Nov 3, 2021 (2 updates tracked since 2021).

About Live Well Psychotherapy Lcsw Pllc NPPES

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

LIVE WELL PSYCHOTHERAPY LCSW PLLC (NPI 1245995372) is a healthcare organization registered as a clinical in Farmingdale, New York and active in the NPI registry since November 2021. The organization lists Carmen R Ceballos, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1245995372
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIVE WELL PSYCHOTHERAPY LCSW PLLC
Location Address100 BROADHOLLOW RD STE 108Farmingdale, NY 11735-4813
Mailing Address26 Wilson AveDeer Park, NY 11729-6714 · (646) 932-6759 · Fax (631) 769-7763
Phone(631) 769-7763
Fax(631) 769-7763
Organization SubpartNo
Authorized OfficialCarmen R CeballosOwner/psychotherapist · (631) 769-7763
Enumeration DateNovember 3, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1245995372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
100 BROADHOLLOW RD STE 108, Farmingdale, NY 11735
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CARMEN R CEBALLOS LCSW-R
Social Worker (Clinical)
100 BROADHOLLOW RD STE 108
FARMINGDALE, NY 11735
Suffolk County (631) 769-7763

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 Live Well Psychotherapy Lcsw PLLC's NPI number?

The NPI number for Live Well Psychotherapy Lcsw PLLC is 1245995372. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Live Well Psychotherapy Lcsw PLLC located?

Live Well Psychotherapy Lcsw PLLC is located at 100 Broadhollow Rd Ste 108, Farmingdale, NY 11735. The listed phone number is (631) 769-7763.

What is Live Well Psychotherapy Lcsw PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Live Well Psychotherapy Lcsw PLLC was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.