Organization Active NPI

Interbeing Wellness LCSW PLLC

  • Clinical Social Worker
  • Miller Place, NY
National Provider Identifier
1346044302
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTERBEING WELLNESS LCSW PLLC
Practice address
54 N Country Rd Ste 4C
Miller Place, NY 11764-1446
Phone
(934) 235-5642
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Jessica Morgan, LCSWNPI 1154982155
Title
Member-Manager
Phone
(631) 813-6903

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

54 N Country Rd Ste 4C
Miller Place, NY 11764-1446

Mailing address

54 N Country Rd Ste 4C
Miller Place, NY 11764-1446
Phone (934) 235-5642

National Provider Directory

National Provider Directory

Locations

54 N Country Rd
Ste 4C
Miller Place, NY 11764
Phone (929) 266-8960

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": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1346044302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N COUNTRY RD STE 4C",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641446",
            "telephone_number": "934-235-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N COUNTRY RD STE 4C",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641446",
            "telephone_number": "934-235-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERBEING WELLNESS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "631-813-6903",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.