CRESCENT LIGHT COUNSELING, LCSW, PLLC
NPI 1275280620
Social Worker - Clinical in Port Jefferson, NY

Active since March 06, 2022
646 MAIN ST STE 102, PORT JEFFERSON, NY 11777(631) 772-9395 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crescent Light Counseling, Lcsw, Pllc NPPES

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

CRESCENT LIGHT COUNSELING, LCSW, PLLC (NPI 1275280620) is a healthcare organization registered as a clinical in Port Jefferson, New York and active in the NPI registry since March 2022. The organization lists Taylor Schultz, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1275280620
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCRESCENT LIGHT COUNSELING, LCSW, PLLC
Location Address646 MAIN ST STE 102Port Jefferson, NY 11777-2230
Mailing Address646 Main St Ste 102Port Jefferson, NY 11777-2230 · (631) 772-9395
Organization SubpartNo
Authorized OfficialTaylor SchultzManager/owner · (631) 617-3696
Enumeration DateMarch 6, 2022
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1275280620 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.

646 MAIN ST STE 102, Port Jefferson, NY 11777

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


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
646 MAIN ST STE 102
PORT JEFFERSON, NY 11777
Psychiatry & Neurology (Psychiatry)
646 MAIN ST STE 102
PORT JEFFERSON, NY 11777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275280620, enumerated as an "organization" on March 06, 2022.

The provider is located at 646 MAIN ST STE 102 PORT JEFFERSON, NY 11777 and the phone number is (631) 772-9395.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.