Organization Active NPI

Therapy Is Self Discovery Liscensed Clinicalsocial Worker P.C.

  • Community/Behavioral Health Agency
  • Amityville, NY
National Provider Identifier
1336783596
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THERAPY IS SELF DISCOVERY LISCENSED CLINICALSOCIAL WORKER P.C.
Practice address
188 Park Ave Ste 3
Amityville, NY 11701-2754
Phone
(631) 766-1240
NPI assigned
Oct 31, 2019
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Mr. Kenneth Francis Corbin, LCSW-RNPI 1457869208
Title
Owner
Phone
(631) 766-1240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

188 Park Ave Ste 3
Amityville, NY 11701-2754

Mailing address

188 Park Ave Ste 3
Amityville, NY 11701-2754
Phone (631) 766-1240

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lindenhurst Direct

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1336783596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 PARK AVE STE 3",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012754",
            "telephone_number": "631-766-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PARK AVE STE 3",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012754",
            "telephone_number": "631-766-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY IS SELF DISCOVERY LISCENSED CLINICALSOCIAL WORKER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-766-1240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lindenhurst",
            "affiliation": "N",
            "endpointDescription": "website which has the business e-mail which is secure",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LINDENHURST",
            "address_1": "183 S Wellwood Ave Unit A",
            "city": "Lindenhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117574935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.