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IMPACT COUNSELING SERVICES
NPI 1972522902
Social Worker - Clinical in Lake Grove, NY

Active since July 19, 2006
2760 MIDDLE COUNTRY RD, SUITE 1, LAKE GROVE, NY 11755(631) 467-3181(631) 467-3185 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Counseling Services NPPES

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

IMPACT COUNSELING SERVICES (NPI 1972522902) is a healthcare organization registered as a clinical in Lake Grove, New York and active in the NPI registry since July 2006. The organization lists Carol A Brunjes, Ceo/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1972522902
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameIMPACT LCSW COUNSELING SERVICES, PC
Location Address2760 MIDDLE COUNTRY RD, SUITE 1Lake Grove, NY 11755-2113
Mailing Address2760 Middle Country Rd, Suite 1Lake Grove, NY 11755-2113 · (631) 467-3181 · Fax (631) 467-3185
Phone(631) 467-3181
Fax(631) 467-3185
Organization SubpartNo
Authorized OfficialCarol A BrunjesCeo/clinical Director · (631) 467-3181
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972522902 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 · R043837-1
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.
2760 MIDDLE COUNTRY RD, Lake Grove, NY 11755
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Other Names 1

Doing Business AsImpact Counseling Services

Other Identifiers 2

Other11569751NY · Caqh
Medicaid02756912NY

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.

IMPACT COUNSELING SERVICES I, INC.
Community/Behavioral Health
2760 MIDDLE COUNTRY RD, SUITE 1
LAKE GROVE, NY 11755
Suffolk County (631) 467-3182

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 Impact Lcsw Counseling Services, PC's NPI number?

The NPI number for Impact Lcsw Counseling Services, PC is 1972522902. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Impact Counseling Services.

Where is Impact Lcsw Counseling Services, PC located?

Impact Lcsw Counseling Services, PC is located at 2760 Middle Country Rd Suite 1, Lake Grove, NY 11755. The listed phone number is (631) 467-3181.

What is Impact Lcsw Counseling Services, PC'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 Impact Lcsw Counseling Services, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.