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

UNLEASHED POTENTIAL PSYCHOTHERAPY LCSW PLLC
NPI 1699679688
Social Worker - Clinical in Commack, NY

Active since October 05, 2026
3 MELWOOD DR, COMMACK, NY 11725(631) 432-8897 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Unleashed Potential Psychotherapy Lcsw Pllc NPPES

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

UNLEASHED POTENTIAL PSYCHOTHERAPY LCSW PLLC (NPI 1699679688) is a healthcare organization registered as a clinical in Commack, New York and active in the NPI registry since October 2026. The organization lists Jessica Ann Rebelo, President, as its authorized official.

NPPES Registry Identity

NPI1699679688
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameUNLEASHED POTENTIAL PSYCHOTHERAPY LCSW PLLC
Location Address3 MELWOOD DRCommack, NY 11725-5610
Mailing Address169 Commack Rd # 1015Commack, NY 11725-3442 · (631) 432-8897
Organization SubpartNo
Authorized OfficialJessica Ann RebeloPresident · (631) 432-8897
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 5, 2026
✔ NPI 1699679688 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.
3 MELWOOD DR, Commack, NY 11725

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 Unleashed Potential Psychotherapy Lcsw PLLC's NPI number?

The NPI number for Unleashed Potential Psychotherapy Lcsw PLLC is 1699679688. It was assigned to this organization in the NPPES registry on October 5, 2026.

Where is Unleashed Potential Psychotherapy Lcsw PLLC located?

Unleashed Potential Psychotherapy Lcsw PLLC is located at 3 Melwood Dr, Commack, NY 11725. The listed phone number is (631) 432-8897.

What is Unleashed Potential Psychotherapy 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 Unleashed Potential Psychotherapy Lcsw PLLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.