Organization Active NPI

South Shore Guidance Center

  • Social Worker
  • Freeport, NY
National Provider Identifier
1184533697
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Sep 2, 2026

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.