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

INTEGRATIVE LICENSED CLINICAL SOCIAL WORK PLLC
NPI 1659284305
Social Worker - Clinical in Wading River, NY

Active since September 24, 2026
112 CLIFF RD W, WADING RIVER, NY 11792(631) 838-7183 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Integrative Licensed Clinical Social Work Pllc NPPES

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

INTEGRATIVE LICENSED CLINICAL SOCIAL WORK PLLC (NPI 1659284305) is a healthcare organization registered as a clinical in Wading River, New York and active in the NPI registry since September 2026. The organization lists Joshua Hendrickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1659284305
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTEGRATIVE LICENSED CLINICAL SOCIAL WORK PLLC
Location Address112 CLIFF RD WWading River, NY 11792-1240
Mailing Address112 Cliff Rd WWading River, NY 11792-1240 · (631) 838-7183
Phone(631) 838-7183
Organization SubpartNo
Authorized OfficialJoshua HendricksonOwner · (631) 838-7183
Enumeration DateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1659284305 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.
112 CLIFF RD W, Wading River, NY 11792
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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

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 Integrative Licensed Clinical Social Work PLLC's NPI number?

The NPI number for Integrative Licensed Clinical Social Work PLLC is 1659284305. It was assigned to this organization in the NPPES registry on September 24, 2026.

Where is Integrative Licensed Clinical Social Work PLLC located?

Integrative Licensed Clinical Social Work PLLC is located at 112 Cliff Rd W, Wading River, NY 11792. The listed phone number is (631) 838-7183.

What is Integrative Licensed Clinical Social Work PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Integrative Licensed Clinical Social Work PLLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.