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

Q: 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.

Q: 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.

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: October 18, 2026.

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

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Live Well Psychotherapy Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Live Well Psychotherapy Lcsw PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carmen Ceballos, LCSW-R

Clinical Social Worker

NPI 1972675874

100 BROADHOLLOW RD STE 108
Farmingdale, NY 11735

(631) 769-7763

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Live Well Psychotherapy Lcsw PLLC enrolled in Medicare?

Yes. Live Well Psychotherapy Lcsw PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Live Well Psychotherapy Lcsw PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Live Well Psychotherapy Lcsw PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.