All Island Counseling LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077909 Issued in NY

Legal business name

ALL ISLAND COUNSELING LCSW PC

Practice address

127 Gatelot Ave
Ronkonkoma, NY 11779-2266

Phone

(631) 252-5740

Fax

(631) 743-9983

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Joan Marie Ryan I, LCSW-R

Title

President

Phone

(631) 252-5740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1598140998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GATELOT AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792266",
            "telephone_number": "631-252-5740",
            "fax_number": "631-743-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GATELOT AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792266",
            "telephone_number": "631-252-5740",
            "fax_number": "631-743-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ISLAND COUNSELING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-252-5740",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Jul 27, 2015; 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.