SOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV
NPI 1366684078
Social Worker - Clinical in Brookhaven, NY

NPI Status: Active since March 26, 2009

Contact Information

36 EDGAR AVE
BROOKHAVEN, NY
ZIP 11719
Phone: (631) 286-8282
Fax: (631) 803-6793

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  • Organization
  • Social Worker
  • Clinical

About SOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV

This page provides the complete NPI Profile along with additional information for Southshore Counseling Mediation And Licensed Clinical Social Work Serv, a provider established in Brookhaven, New York operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1366684078 assigned on March 2009. The practitioner's primary taxonomy code is 1041C0700X with license number 075548-1 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle Cavaleri Lcsw (Executive Officer)

NPI
1366684078
Provider Name
SOUTHSHORE COUNSELING MEDIATION AND LICENSED CLINICAL SOCIAL WORK SERV
Entity Type
Organization
Location Address
36 EDGAR AVE BROOKHAVEN, NY 11719
Location Phone
(631) 286-8282
Location Fax
(631) 803-6793
Mailing Address
36 EDGAR AVE BROOKHAVEN, NY 11719
Mailing Phone
(631) 286-8282
Mailing Fax
(631) 803-6793
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2009
Last Update Date
04-15-2016
Code Navigator

A clinical social worker like Southshore Counseling Mediation And Licensed Clinical Social Work Serv is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
075548-1
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE CAVALERI LCSW

Authorized Official Title
EXECUTIVE OFFICER
Authorized Official Phone
(631) 286-8282

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366684078, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 2 + 8 + 8 + 0 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1366684078.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Social Worker (Clinical)
36 EDGAR AVE
BROOKHAVEN, NY 11719
Social Worker
36 EDGAR AVE
BROOKHAVEN, NY 11719
Social Worker (Clinical)
36 EDGAR AVE
BROOKHAVEN, NY 11719
Social Worker
36 EDGAR AVE
BROOKHAVEN, NY 11719
Social Worker
36 EDGAR AVE
BROOKHAVEN, NY 11719
Social Worker (Clinical)
36 EDGAR AVE
BROOKHAVEN, NY 11719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366684078, enumerated as an "organization" on March 26, 2009.

The provider is located at 36 EDGAR AVE BROOKHAVEN, NY 11719 and the phone number is (631) 286-8282.

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