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BLOSSOMS OF CHANGE COUNSELING LCSW PLLC
NPI 1962271262
Social Worker - Clinical in West Islip, NY

Active since December 27, 2023
343 OAK NECK RD, WEST ISLIP, NY 11795(631) 793-5250 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blossoms Of Change Counseling Lcsw Pllc NPPES

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

BLOSSOMS OF CHANGE COUNSELING LCSW PLLC (NPI 1962271262) is a healthcare organization registered as a clinical in West Islip, New York and active in the NPI registry since December 2023. The organization lists Courtney A Jacobson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1962271262
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLOSSOMS OF CHANGE COUNSELING LCSW PLLC
Location Address343 OAK NECK RDWest Islip, NY 11795-3616
Mailing Address343 Oak Neck RdWest Islip, NY 11795-3616 · (631) 793-5250
Phone(631) 793-5250
Organization SubpartNo
Authorized OfficialCourtney A JacobsonSole Member · (631) 793-5250
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1962271262 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.
343 OAK NECK RD, West Islip, NY 11795
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

COURTNEY A JACOBSON LCSW
Social Worker (Clinical)
343 OAK NECK RD
WEST ISLIP, NY 11795
Suffolk County (631) 793-5250

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 Blossoms Of Change Counseling Lcsw PLLC's NPI number?

The NPI number for Blossoms Of Change Counseling Lcsw PLLC is 1962271262. It was assigned to this organization in the NPPES registry on December 27, 2023.

Where is Blossoms Of Change Counseling Lcsw PLLC located?

Blossoms Of Change Counseling Lcsw PLLC is located at 343 Oak Neck Rd, West Islip, NY 11795. The listed phone number is (631) 793-5250.

What is Blossoms Of Change Counseling 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 Blossoms Of Change Counseling Lcsw PLLC was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.