Organization Active NPI

Lifeskillsandpsychotherapy Services, PC

  • Clinical Social Worker
  • Port Jefferson Station, NY
National Provider Identifier
1396870820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFESKILLSANDPSYCHOTHERAPY SERVICES, PC
Practice address
1050 Hallock Ave
Suite 1
Port Jefferson Station, NY 11776-1214
Phone
(631) 467-2554
Fax
(631) 467-6649
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diane O. Seaman, LCSW,ACSW,BCDCERTMINNPI 1578611729
Title
Owner Director
Phone
(631) 467-2554

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1050 Hallock Ave
Suite 1
Port Jefferson Station, NY 11776-1214

Mailing address

1050 Hallock Ave
Suite 1
Port Jefferson Station, NY 11776-1214

National Provider Directory

National Provider Directory
Tax ID family
Diane O Seaman LCSW2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1050 Hallock Ave
Ste 1
Port Jefferson Station, NY 11776
Phone (631) 676-1962

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396870820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HALLOCK AVE",
            "address_2": "SUITE 1",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761214",
            "fax_number": "631-467-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HALLOCK AVE",
            "address_2": "SUITE 1",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761214",
            "telephone_number": "631-467-2554",
            "fax_number": "631-467-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLSANDPSYCHOTHERAPY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEAMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "631-467-2554",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW,ACSW,BCDCERTMIN"
    },
    "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 Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.