Active NPI
Long Island Counseling LCSW PC
- Clinical Social Worker
- East Meadow, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 056086R
- Legal business name
- LONG ISLAND COUNSELING LCSW PC
- Practice address
- 2545 Hempstead Tpke Ste 105
East Meadow, NY 11554-2147 - Phone
- (516) 882-4544
- NPI assigned
- Jul 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacy Leigh Pellettieri, LCSW
- Title
- Clinical Director
- Phone
- (516) 680-5967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 056086R | NY | Primary |
Addresses
Primary practice location
2545 Hempstead Tpke Ste 105
East Meadow, NY 11554-2147
Mailing address
2255 Centre Ave Ste 2
Bellmore, NY 11710-3499
Phone (516) 882-4544
Other practice location 1
2255 Centre Ave Ste 2
Bellmore, NY 11710-3499
Phone (516) 882-4544
Other practice location 2
2116 Merrick Ave
Suite 3008
Merrick, NY 11566-3445
Phone (516) 680-5967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2255 Centre Ave
Ste 2
Bellmore, NY 11710
Phone (516) 882-4544
2545 Hempstead Tpke
Ste 105
East Meadow, NY 11554
Phone (347) 485-7414
150 Broadhollow Rd
Ste 310
Melville, NY 11747
Phone (516) 882-4544
100 N Centre Ave
Ste 204
Rockville Centre, NY 11570
Phone (516) 882-4544
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hempstead, NY
- NPI 1184284333
-
- Clinical Social Worker
- Baldwin, NY
- NPI 1336535459
-
- Mental Health Counselor
- Astoria, NY
- NPI 1457132680
-
- School Social Worker
- Lawrence, NY
- NPI 1316242191
-
- Clinical Social Worker
- Huntington, NY
- NPI 1336155415
-
- Clinical Social Worker
- Melville, NY
- NPI 1457110744
-
- Social Worker
- Rockville Centre, NY
- NPI 1144032178
-
- Mental Health Counselor
- Smithtown, NY
- NPI 1730770124
-
- Mental Health Counselor
- Amityville, NY
- NPI 1447703723
-
- Mental Health Counselor
- Freeport, NY
- NPI 1104443282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1366894750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 CENTRE AVE STE 2",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103499",
"telephone_number": "516-882-4544",
"fax_number": "631-206-9299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 HEMPSTEAD TPKE STE 105",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115542147",
"telephone_number": "516-882-4544"
}
],
"practiceLocations": [
{
"address_1": "2255 Centre Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Bellmore",
"state": "NY",
"postal_code": "117103499",
"country_code": "US",
"telephone_number": "516-882-4544",
"fax_number": "631-206-9299",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Merrick Ave",
"address_2": "Suite 3008",
"address_purpose": "LOCATION",
"city": "Merrick",
"state": "NY",
"postal_code": "115663445",
"country_code": "US",
"telephone_number": "516-680-5967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LONG ISLAND COUNSELING LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-08",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A",
"authorized_official_last_name": "PELLETTIERI",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "516-680-5967",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "056086R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.