Soaring Feathers Licensed Clinical Social Work PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOARING FEATHERS LICENSED CLINICAL SOCIAL WORK PLLC

Practice address

335 N Dunton Ave
East Patchogue, NY 11772-5543

Phone

(631) 320-5363

NPI assigned

Jul 16, 2026

Organization subpart

No

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

Authorized official

Name

Jennifer Fassino, LCSW

Title

Licensed Clinical Social Worker

Phone

(631) 445-4786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1538089081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N DUNTON AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725543",
            "telephone_number": "631-445-4786",
            "fax_number": "631-445-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N DUNTON AVE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725543",
            "telephone_number": "631-320-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING FEATHERS LICENSED CLINICAL SOCIAL WORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "FASSINO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-445-4786",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.