SOUTH BAY COUNSELING, LCSW PC
NPI 1992112510
Social Worker - Clinical in Amityville, NY

Q: What is South Bay Counseling, Lcsw PC's NPI number?

The NPI number for South Bay Counseling, Lcsw PC is 1992112510. It was assigned to this organization in the NPPES registry on July 15, 2014.

Q: What is South Bay Counseling, Lcsw PC's specialty?

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

Active since July 15, 2014

191 BROADWAY, AMITYVILLE, NY 11701(631) 264-0058(631) 264-0056 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Bay Counseling, Lcsw Pc NPPES

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

SOUTH BAY COUNSELING, LCSW PC (NPI 1992112510) is a healthcare organization registered as a clinical in Amityville, New York and active in the NPI registry since July 2014. The organization lists Elissa Grunblatt, President/owner, as its authorized official.

NPPES Registry Identity

NPI1992112510

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSOUTH BAY COUNSELING, LCSW PC

Location Address191 BROADWAYAmityville, NY 11701-2790

Mailing Address191 BroadwayAmityville, NY 11701-2790 · (631) 264-0058 · Fax (631) 264-0056

Phone(631) 264-0058

Fax(631) 264-0056

Organization SubpartNo

Authorized OfficialElissa GrunblattPresident/owner · (631) 264-0058

Enumeration DateJuly 15, 2014

Last NPPES UpdateMay 5, 2017

✔ NPI 1992112510 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 · 069889

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.

191 BROADWAY, Amityville, NY 11701

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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 14

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

EMAD FAHMY MA, MBA

Counselor (Mental Health)