LCSW Counseling & Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071106-1 Issued in NY

Legal business name

LCSW COUNSELING & PSYCHOTHERAPY

Practice address

363 Route 111
Suite 103
Smithtown, NY 11787-4756

Phone

(631) 265-3133

Fax

(631) 265-3205

NPI assigned

Oct 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michelle V Button, LCSW

Title

Owner

Phone

(631) 265-3133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1316136559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874756",
            "telephone_number": "631-265-3133",
            "fax_number": "631-265-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 ROUTE 111",
            "address_2": "SUITE 103",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874756",
            "telephone_number": "631-265-3133",
            "fax_number": "631-265-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCSW COUNSELING & PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "BUTTON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-265-3133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna Loren Lauro
• David Thomas Lavan
• Carl E Lavorata, D.D.S.
• Ellen Lawler-Puorro, LPN
• Lawrence Avenue Medical PC
• Elisha N Le Monier
• Treya S Leake, NP
• Megan Leary
• Paul Richard Leary, D.M.D.
• John Lebrun, LCSW

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.