NPIMap

Organization Active NPI

Sunshine Therapy LCSW PC

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1093336307
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNSHINE THERAPY LCSW PC
Practice address
80 Maple Ave Ste 201
Smithtown, NY 11787-3520
Phone
(631) 306-4284
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stefanie Stadler, LCSWNPI 1598202780
Title
Owner
Phone
(631) 682-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

80 Maple Ave Ste 201
Smithtown, NY 11787-3520

Mailing address

108 Webster Ave
Lake Ronkonkoma, NY 11779-1626

Other identifiers 1

IdentifierTypeStateIssuer
1598202780OtherNPI

National Provider Directory

National Provider Directory

Locations

606 Johnson Ave
Ste 30
Bohemia, NY 11716
Phone (509) 322-1631

2233 Nesconset Hwy
Ste 105
Lake Grove, NY 11755
Phone (631) 306-4284

80 Maple Ave
Ste 201
Smithtown, NY 11787
Phone (631) 306-4284

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1093336307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WEBSTER AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117791626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAPLE AVE STE 201",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873520",
            "telephone_number": "631-306-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE THERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "STADLER",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-682-7451",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598202780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.