Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FORTITUDE LICENSED CLINICAL SOCIAL WORK PLLC
NPI 1629982145
Social Worker - Clinical in Bohemia, NY

Q: What is Fortitude Licensed Clinical Social Work PLLC's specialty?

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

Active since October 01, 2026

80 ORVILLE DR STE 100, BOHEMIA, NY 11716(419) 581-9810 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Fortitude Licensed Clinical Social Work Pllc NPPES

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

FORTITUDE LICENSED CLINICAL SOCIAL WORK PLLC (NPI 1629982145) is a healthcare organization registered as a clinical in Bohemia, New York and active in the NPI registry since October 2026. The organization lists Joseph Conklin, Member, as its authorized official.

NPPES Registry Identity

NPI1629982145

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameFORTITUDE LICENSED CLINICAL SOCIAL WORK PLLC

Location Address80 ORVILLE DR STE 100Bohemia, NY 11716-2505

Mailing Address80 Orville Dr Ste 100Bohemia, NY 11716-2505 · (419) 581-9810

Phone(419) 581-9810

Organization SubpartNo

Authorized OfficialJoseph ConklinMember · (419) 581-9810

Enumeration DateOctober 1, 2026

NPPES CertifiedSeptember 28, 2026

✔ NPI 1629982145 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.

80 ORVILLE DR STE 100, Bohemia, NY 11716

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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