Community Counseling Too LCSW Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMMUNITY COUNSELING TOO LCSW SERVICES PLLC

Practice address

468 Main St
Mastic Beach, NY 11951-3407

Phone

(631) 294-0216

Fax

(631) 772-6221

NPI assigned

Aug 5, 2024

Organization subpart

No

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

Authorized official

Name

Holly Lee Gordon, LCSWRNPI 1215169602

Title

Excutive Director

Phone

(631) 294-0216

Specialties & licenses 1

Addresses

Other names 1

• PLLC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Lee Gordon, LCSW

  • Social Worker
  • Mastic Beach, NY
  • NPI 1215169602
  Medicare reassignment NPD Authorized official
• Cynthia Lynn Longo, LCSW

  • Clinical Social Worker
  • Center Moriches, NY
  • NPI 1164511564
  NPD (past)

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1619707650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 MAIN ST",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119513407",
            "telephone_number": "631-300-7910",
            "fax_number": "631-772-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 MAIN ST",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119513407",
            "telephone_number": "631-294-0216",
            "fax_number": "631-772-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING TOO LCSW SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-294-0216",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amour Najee Carrethers
• Mary Chepak, LMSW
• Coby Scaccia PT, PC
• Jhneale Cockburn-Georges
• Nicoletta Colabella
• Jessica B Conlon
• Patricia Mary Connelly, HHA, PCA
• Lynn Anne Coolidge, LICENSED PRACTICAL N
• Randee Cotton
• Counseling Connections Community Center Inc

• Clinical Social Worker in Mastic Beach, NY
• Providers in Mastic Beach, 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 Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.