MR. KENNETH ROBERT SERGIACOMI L.M.S.W.
NPI 1336355395
Social Worker in Port Jefferson Station, NY

Active since May 15, 2007
1050 HALLOCK AVE, SUITE 4, PORT JEFFERSON STATION, NY 11776(631) 384-0624 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kenneth Robert Sergiacomi L.m.s.w. NPPES

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

MR. KENNETH ROBERT SERGIACOMI L.M.S.W. (NPI 1336355395) is an individual social worker in Port Jefferson Station, New York, licensed in New York (0735881-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336355395
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KENNETH ROBERT SERGIACOMICredential: L.M.S.W.
Location Address1050 HALLOCK AVE, SUITE 4Port Jefferson Station, NY 11776-1214
Mailing Address1050 Hallock Ave, Suite 4Port Jefferson Station, NY 11776-1214 · (631) 384-0624
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 17, 2007
NPI 1336355395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in NY · 0735881-1
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedCounselorTaxonomy 101Y00000X · License 0735881-1 (NY)
1050 HALLOCK AVE, Port Jefferson Station, NY 11776

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.

Social Worker (Clinical)
1050 HALLOCK AVE, SUITE 4
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE, SUITE 1
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Psychologist (Clinical)
1050 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE, SUITE 4
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE, SUITE #1
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336355395, enumerated as an "individual" on May 15, 2007.

The provider is located at 1050 HALLOCK AVE SUITE 4 PORT JEFFERSON STATION, NY 11776 and the phone number is (631) 384-0624.

Social Worker with taxonomy code 104100000X.