Active NPI
South Shore Guidance Center
- Social Worker
- Freeport, NY
National Provider Identifier
1184533697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- SOUTH SHORE GUIDANCE CENTER
- Practice address
- 114 Church St
Freeport, NY 11520-3833 - Phone
- (516) 868-3030
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trina Rivers
- Title
- School Worker Intern
- Phone
- (347) 752-7834
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
114 Church St
Freeport, NY 11520-3833
Mailing address
916 Wallace Ave
North Baldwin, NY 11510-2147
Phone (347) 752-7834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1184533697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 WALLACE AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115102147",
"telephone_number": "347-752-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CHURCH ST",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203833",
"telephone_number": "516-868-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE GUIDANCE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "RIVERS",
"authorized_official_first_name": "TRINA",
"authorized_official_title_or_position": "SCHOOL WORKER INTERN",
"authorized_official_telephone_number": "347-752-7834"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.