Social Work for Counseling for Inspirational Living LCSW PC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

R048202-1 Issued in NY

Legal business name

SOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC

Practice address

6 Roosevelt Ave Ste 2
Port Jefferson Station, NY 11776-3364

Phone

(631) 474-1533

Fax

(631) 474-1533

NPI assigned

Oct 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth G. Lent, LCSWNPI 1437201498

Title

Owner

Phone

(631) 474-1533

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth G Lent, LCSW

  • Clinical Social Worker
  • Port Jefferson Station, NY
  • NPI 1437201498
  Medicare reassignment Authorized official
• Lynne G Slovin, LCSW

  • Clinical Social Worker
  • Bohemia, NY
  • NPI 1255717252
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1164757787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROOSEVELT AVE STE 2",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763364",
            "telephone_number": "631-474-1533",
            "fax_number": "631-474-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ROOSEVELT AVE STE 2",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763364",
            "telephone_number": "631-474-1533",
            "fax_number": "631-474-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Hallock Ave",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117761298",
            "country_code": "US",
            "telephone_number": "631-474-1533",
            "fax_number": "631-473-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL WORK FOR COUNSELING FOR INSPIRATIONAL LIVING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "LENT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-474-1533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "R048202-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02364309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Rae Slater, LPN
• Chelsea Nicole Smith, PTA
• Johanna M Smith, NP
• Shelby Lynn Smith
• Kayla Anne Snyder
• Danielle Maria Sohngen
• Mario Solomita, DO
• Randall Solomon
• Sonshine Counseling & Consulting LLC
• Sophia a Argeropoulos DC PC

• Marriage & Family Therapist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.