Suffolk County Therapeutic Counseling,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUFFOLK COUNTY THERAPEUTIC COUNSELING,LLC

Practice address

15 Horseblock PL
Farmingville, NY 11738-1204

Phone

(631) 854-2571

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Sean Stewart

Title

Social Worker Clinical

Phone

(631) 747-3201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1518544436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HORSEBLOCK PL",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381204",
            "telephone_number": "631-854-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HORSEBLOCK PL",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381204",
            "telephone_number": "631-854-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK COUNTY THERAPEUTIC COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "SOCIAL WORKER CLINICAL",
        "authorized_official_telephone_number": "631-747-3201"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1851674295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laraine Rene Strom, LMHC
• Suffolk County Department of Health
• Suffolk County Department of Health Services
• Suffolk County Dept. Mental Health Hygiene
• Suffolk County Dual Recovery Program
• Stanley Sun, DDS
• Christine Surrusco, RN
• Kaitlyn Symancyk
• Tullia M Taglienti, RN
• Rubaya Tahiru, RN

• Clinical Social Worker in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.