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MRS. STEPHANIE PERSICO LCSW
NPI 1861892168
Social Worker - Clinical in Medford, NY

Active since August 25, 2014
3251 ROUTE 112, MEDFORD, NY 11763(631) 451-6007 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Mar 4, 2021, Feb 6, 2019 (3 updates tracked since 2019).

About Mrs. Stephanie Persico Lcsw NPPES

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

MRS. STEPHANIE PERSICO LCSW (NPI 1861892168) is an individual clinical provider in Medford, New York and active in the NPI registry since August 2014. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861892168
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STEPHANIE PERSICOCredential: LCSW
Location Address3251 ROUTE 112Medford, NY 11763-1446
Mailing Address811 W Jericho TpkeSmithtown, NY 11787-3232 · (631) 882-1349
Phone(631) 451-6007
Sole ProprietorYes
Enumeration DateAugust 25, 2014
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
✔ NPI 1861892168 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
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 ListedSocial WorkerTaxonomy 104100000X
3251 ROUTE 112, Medford, NY 11763
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Secondary Practice Locations 2

Location 12030 Bodanyi PlRonkonkoma, NY 11779-6530 · Phone (631) 428-4991
Location 2811 W Jericho TpkeSmithtown, NY 11787-3232 · Phone (631) 882-1349

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.

EMILY KLEIN LMSW
Social Worker
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DIANA VOLLARO SLP LLC
Clinic/Center (Hearing and Speech)
3251 ROUTE 112, BLDG. 9, SUITE 3
MEDFORD, NY 11763
Suffolk County (631) 732-4794
MR. CHRISTOPHER MATTIMORE CASAC
Counselor (Addiction (Substance Use Disorder))
3251 ROUTE 112, BLDG. 9, STE. 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
GLADYS KNOWLES
Case Manager/Care Coordinator
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
MS. CABRINA MARIE RIGGIO LMHC, CASAC
Counselor (Mental Health)
3251 ROUTE 112, BLDG 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
HELEN SIMON
Counselor (Addiction (Substance Use Disorder))
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
JOANNA E KELLY LCSW
Social Worker (Clinical)
3251 ROUTE 112, BUILDING #9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DOLORES M GARRY LMSW
Social Worker
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007

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 Stephanie Persico's NPI number?

The NPI number for Stephanie Persico is 1861892168. It was assigned to this individual provider in the NPPES registry on August 25, 2014.

Where is Stephanie Persico located?

Stephanie Persico practices at 3251 Route 112, Medford, NY 11763. The listed phone number is (631) 451-6007.

What is Stephanie Persico'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 Stephanie Persico was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.