Organization Active NPI

Carrie Gardino, LCSW P.C.

Doing business as Behavioral Health Counseling

  • Clinical Social Worker
  • Babylon, NY
National Provider Identifier
1487396776
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARRIE GARDINO, LCSW P.C.
Doing business as
Behavioral Health Counseling
Practice address
107 Cooper St
Babylon, NY 11702-2417
Phone
(631) 526-9482
NPI assigned
Apr 8, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Mrs. Jennifer Mayberry
Title
Practice Administrator
Phone
(631) 526-9482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

107 Cooper St
Babylon, NY 11702-2417

Mailing address

107 Cooper St
Babylon, NY 11702-2417
Phone (631) 526-9482

Other practice location 1

103 Cooper St Ste 2
Babylon, NY 11702-2368
Phone (631) 526-9482

Other names 1

  • Behavioral Health Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

103 Cooper St
Ste 2
Babylon, NY 11702
Phone (631) 526-9482

Practitioners & affiliated clinicians

Practitioners 2

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": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1487396776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COOPER ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022417",
            "telephone_number": "631-526-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COOPER ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022417",
            "telephone_number": "631-526-9482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Cooper St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117022368",
            "country_code": "US",
            "telephone_number": "631-526-9482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARRIE GARDINO, LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-526-9482",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Behavioral Health Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.