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LIGHTHOUSE INTEGRATIVE COUNSELING SERVICES LCSW MARRIAGE AND FAMILY TH
NPI 1699135566
Social Worker - Clinical in Port Jefferson, NY

Active since March 04, 2016
414 MAIN ST STE 203A, PORT JEFFERSON, NY 11777(631) 478-3292(631) 476-1302 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th NPPES

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

LIGHTHOUSE INTEGRATIVE COUNSELING SERVICES LCSW MARRIAGE AND FAMILY TH (NPI 1699135566) is a healthcare organization registered as a clinical in Port Jefferson, New York and active in the NPI registry since March 2016. The organization lists Michelle D Conelli, Founder/director, as its authorized official.

NPPES Registry Identity

NPI1699135566
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIGHTHOUSE INTEGRATIVE COUNSELING SERVICES LCSW MARRIAGE AND FAMILY TH
Location Address414 MAIN ST STE 203APort Jefferson, NY 11777-1686
Mailing Address414 Main St Ste 203aPort Jefferson, NY 11777-1686 · (631) 478-3292 · Fax (631) 476-1302
Phone(631) 478-3292
Fax(631) 476-1302
Organization SubpartNo
Authorized OfficialMichelle D ConelliFounder/director · (631) 478-3292
Enumeration DateMarch 4, 2016
✔ NPI 1699135566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 073603
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.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 000230 (NY)
414 MAIN ST STE 203A, Port Jefferson, NY 11777
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th's NPI number?

The NPI number for Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th is 1699135566. It was assigned to this organization in the NPPES registry on March 4, 2016.

Where is Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th located?

Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th is located at 414 Main St Ste 203A, Port Jefferson, NY 11777. The listed phone number is (631) 478-3292.

What is Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th'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 Lighthouse Integrative Counseling Services Lcsw Marriage And Family Th was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.