East End Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EAST END COUNSELING LCSW PLLC

Practice address

3330 Noyac Rd BLDG D
Sag Harbor, NY 11963-1931

Phone

(631) 899-4575

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Mitchell, LCSW

Title

Owner

Phone

(631) 899-4575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1629646468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NOYAC RD BLDG D",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631931",
            "telephone_number": "631-899-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NOYAC RD BLDG D",
            "city": "SAG HARBOR",
            "state": "NY",
            "postal_code": "119631931",
            "telephone_number": "631-899-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-899-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Degaetano
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• Deborah Disunno, OTA
• Kelly J Downes, DC
• Elise Rachel Duryea, M.A., CCC-SLP
• East End Sports Chiropractic, PC
• Stephanie Joanne Esposito, LMT, MLDC
• Essential Massage H & W, LLC
• Liliana Fazendeiro, PTA
• Emily Mara Feinberg, LMSW

• Clinical Social Worker in Sag Harbor, NY
• Providers in Sag Harbor, 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 Jun 17, 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.