1. Home
  2. Directory
  3. New York
  4. Shoreham
  5. Social Worker
  6. NPI Profile

SHOREHAM PSYCHOTHERAPY SERVICES LCSW PLLC
NPI 1669860573
Social Worker - Clinical in Shoreham, NY

Active since December 30, 2014
45 ROUTE 25A, SUITE A2, SHOREHAM, NY 11786(631) 821-5056(631) 821-5056 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shoreham Psychotherapy Services Lcsw Pllc NPPES

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

SHOREHAM PSYCHOTHERAPY SERVICES LCSW PLLC (NPI 1669860573) is a healthcare organization registered as a clinical in Shoreham, New York and active in the NPI registry since December 2014. The organization lists Mary Lee Hasbrouck, President, as its authorized official.

NPPES Registry Identity

NPI1669860573
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSHOREHAM PSYCHOTHERAPY SERVICES LCSW PLLC
Location Address45 ROUTE 25A, SUITE A2Shoreham, NY 11786-1389
Mailing Address45 Route 25a, Suite A2Shoreham, NY 11786-1389 · (631) 821-5056 · Fax (631) 821-5056
Phone(631) 821-5056
Fax(631) 821-5056
Organization SubpartNo
Authorized OfficialMary Lee HasbrouckPresident · (631) 821-5056
Enumeration DateDecember 30, 2014
✔ NPI 1669860573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · R022772✔ Licensed in MA · 117957
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.
45 ROUTE 25A, Shoreham, NY 11786
Open in Google Maps ↗

Other Identifiers 3

Other10498656NY · Caqh
Medicaid01475396NY
Medicare PINN1C481NY

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

DR. CHARLES RICHARD HOEG JR. DMD
Dentist
45 ROUTE 25A, SUITE A1
SHOREHAM, NY 11786
Suffolk County (631) 744-2288
DR. JOEL MORGENSTERN MD
Family Medicine
45 ROUTE 25A, SUITE E2
SHOREHAM, NY 11786
Suffolk County (631) 821-2225
OWEN YEN
Internal Medicine (Cardiovascular Disease)
45 ROUTE 25A, SUITE C
SHOREHAM, NY 11786
Suffolk County (631) 744-3303
DEBORAH ANN SCHAEFER DO
Family Medicine
45 ROUTE 25A
SHOREHAM, NY 11786
Suffolk County (631) 585-5858
SHOREHAM MEDICAL SERVICES P.C.
Internal Medicine
45 ROUTE 25A, SUITE C
SHOREHAM, NY 11786
Suffolk County (631) 849-6116
GARY P MILACK DPM PC
Clinic/Center (Podiatric)
45 ROUTE 25A, SUITE D-1
SHOREHAM, NY 11786
Suffolk County (631) 744-0022
DR. BARBARA FONTANA PH.D.
Psychologist (Clinical)
45 ROUTE 25A, STE A2
SHOREHAM, NY 11786
Suffolk County (631) 821-1880
JEFFREY KRAUSHAAR
Eyewear Supplier
45 ROUTE 25A, SUITE 25A
SHOREHAM, NY 11786
Suffolk County (631) 821-2244

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 Shoreham Psychotherapy Services Lcsw PLLC's NPI number?

The NPI number for Shoreham Psychotherapy Services Lcsw PLLC is 1669860573. It was assigned to this organization in the NPPES registry on December 30, 2014.

Where is Shoreham Psychotherapy Services Lcsw PLLC located?

Shoreham Psychotherapy Services Lcsw PLLC is located at 45 Route 25A Suite A2, Shoreham, NY 11786. The listed phone number is (631) 821-5056.

What is Shoreham Psychotherapy Services Lcsw 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 Shoreham Psychotherapy Services Lcsw PLLC was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.