Nicole Michelle Duffy, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

122054 Issued in NY

Practice address

3285 Veterans Memorial Hwy Ste A13
Ronkonkoma, NY 11779-7669

Phone

(631) 666-8833

NPI assigned

Oct 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rachel Lessard LCSW PC

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1427693217

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1245052240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HALF HOLLOW RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843302",
            "telephone_number": "631-745-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 VETERANS MEMORIAL HWY STE A13",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797669",
            "telephone_number": "631-666-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson",
            "state": "NY",
            "postal_code": "117772227",
            "country_code": "US",
            "telephone_number": "631-371-3825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "122054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Donovan
• Rachel Dorfman, LMT
• Anne-Joan Dower, LCSW
• Ryan Dragotta
• Joanne Christine Dubicki, PTA
• Victoria Dunn, PHARMD
• Bridget Duplessis
• Belkis Duran
• Jamie Durkin, M.A., CCC-SLP
• Dynamic Radiological PC

• Mental Health Counselor in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.