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MEREDITH R RICKENBACKER LCSW
NPI 1447669569
Social Worker - Clinical in Port Jefferson, NY

Active since August 04, 2014
1000 MAIN ST, SUITE 3, PORT JEFFERSON, NY 11777(631) 827-8722 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Meredith R Rickenbacker Lcsw NPPES

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

MEREDITH R RICKENBACKER LCSW (NPI 1447669569) is an individual clinical provider in Port Jefferson, New York, licensed in New York (075170-1) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1447669569
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMEREDITH R RICKENBACKERCredential: LCSW
Location Address1000 MAIN ST, SUITE 3Port Jefferson, NY 11777-2250
Mailing Address1000 Main St, Suite 3Port Jefferson, NY 11777-2250 · (631) 827-8722
Phone(631) 827-8722
Sole ProprietorYes
Enumeration DateAugust 4, 2014
✔ NPI 1447669569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 075170-1
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.
1000 MAIN ST, Port Jefferson, NY 11777
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

DR. FREDRIC M LEVINE PH.D.
Psychologist (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-6622
PEOPLE TALK, INC
Social Worker (Clinical)
1000 MAIN ST, SUITE D
PORT JEFFERSON, NY 11777
Suffolk County (631) 921-9138
MR. DAVID BRUCE MORGAN LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 839-1682
KELLY CONRAD SANCHEZ LMFT
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
AVNEET KAUR
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MS. DEBORAH M. DEROSA LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 589-2389
BLAIR CRISTIN FORTE
Marriage & Family Therapist
1000 MAIN ST, FIRST FLOOR, SOUTH SUITE
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MICHELLE STEWART LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 631-2961

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 Meredith Rickenbacker's NPI number?

The NPI number for Meredith Rickenbacker is 1447669569. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Meredith Rickenbacker located?

Meredith Rickenbacker practices at 1000 Main St Suite 3, Port Jefferson, NY 11777. The listed phone number is (631) 827-8722.

What is Meredith Rickenbacker's specialty?

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

What insurance does Meredith Rickenbacker accept?

Health plans from Providence Health Plan list Meredith Rickenbacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meredith Rickenbacker was last updated on August 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.