GREAT SOUTH BAY THERAPY LCSW PC
NPI 1710468517
Social Worker - Clinical in Bayport, NY

Q: What is Great South Bay Therapy Lcsw PC's NPI number?

The NPI number for Great South Bay Therapy Lcsw PC is 1710468517. It was assigned to this organization in the NPPES registry on August 28, 2018.

Q: What is Great South Bay Therapy Lcsw PC's specialty?

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

Active since August 28, 2018

972 MONTAUK HWY, BAYPORT, NY 11705(631) 472-2629 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Aug 28, 2018 (2 updates tracked since 2018).

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About Great South Bay Therapy Lcsw Pc NPPES

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

GREAT SOUTH BAY THERAPY LCSW PC (NPI 1710468517) is a healthcare organization registered as a clinical in Bayport, New York and active in the NPI registry since August 2018. The organization lists Jennifer Flanagan, President, as its authorized official.

NPPES Registry Identity

NPI1710468517

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameGREAT SOUTH BAY THERAPY LCSW PC

Location Address972 MONTAUK HWYBayport, NY 11705-1612

Mailing Address972 Montauk HwyBayport, NY 11705-1612 · (631) 472-2629

Phone(631) 472-2629

Organization SubpartNo

Authorized OfficialJennifer FlanaganPresident · (631) 472-2629

Enumeration DateAugust 28, 2018

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1710468517 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 · R03699

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.

972 MONTAUK HWY, Bayport, NY 11705

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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

Other Providers at the Same Location NPPES 13

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

ERIC SPECIALE MENTAL HEALTH COUNSELING PLLC

Community/Behavioral Health