Organization Active NPI

Long Island Therapy LCSW PC

  • Clinical Social Worker
  • Westbury, NY
National Provider Identifier
1306563143
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LONG ISLAND THERAPY LCSW PC
Practice address
320 Plainfield St
Westbury, NY 11590-2113
Phone
(440) 212-1786
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Bella Boroniec, LCSW
Title
Owner
Phone
(440) 212-1786

Specialties & licenses 1

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

Addresses

Primary practice location

320 Plainfield St
Westbury, NY 11590-2113

Mailing address

320 Plainfield St
Westbury, NY 11590-2113
Phone (440) 212-1786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1306563143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PLAINFIELD ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902113",
            "telephone_number": "440-212-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PLAINFIELD ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902113",
            "telephone_number": "440-212-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND THERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A",
        "authorized_official_last_name": "BORONIEC",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-212-1786",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.