NICOLE WOOD LCSW
NPI 1669157913
Social Worker - Clinical in Port Jefferson, NY

Active since June 15, 2023
646 MAIN ST, PORT JEFFERSON, NY 11777(631) 928-9808(903) 209-7200 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Wood Lcsw NPPES

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

NICOLE WOOD LCSW (NPI 1669157913) is an individual clinical provider in Port Jefferson, New York, licensed in New York (089066-01) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1669157913
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE WOODCredential: LCSW
Location Address646 MAIN STPort Jefferson, NY 11777-2235
Mailing Address35 Puritan PathPort Jefferson, NY 11777-1456 · (631) 928-9808 · Fax (903) 265-4867
Fax(903) 209-7200
Sole ProprietorYes
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1669157913 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 · 089066-01
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.
646 MAIN ST, Port Jefferson, NY 11777

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
646 MAIN ST, SUITE 201
PORT JEFFERSON, NY 11777
Social Worker (Clinical)
646 MAIN ST, LOWER LEVEL
PORT JEFFERSON, NY 11777
Social Worker
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist (Clinical Child & Adolescent)
646 MAIN ST
PORT JEFFERSON, NY 11777
Social Worker
646 MAIN ST
PORT JEFFERSON, NY 11777
Psychologist (Clinical)
646 MAIN ST, 2ND FLOOR, SUITE 203
PORT JEFFERSON, NY 11777
Counselor (Mental Health)
646 MAIN ST
PORT JEFFERSON, NY 11777

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 Nicole Wood's NPI number?

The NPI number for Nicole Wood is 1669157913. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Nicole Wood located?

Nicole Wood practices at 646 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 928-9808.

What is Nicole Wood'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 Nicole Wood was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.