Integrative Licensed Clinical Social Work PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTEGRATIVE LICENSED CLINICAL SOCIAL WORK PLLC

Practice address

112 Cliff Rd W
Wading River, NY 11792-1240

Phone

(631) 838-7183

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Hendrickson, PHD LCSWNPI 1588917785

Title

Owner

Phone

(631) 838-7183

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Hendrickson, LMSW

  • Social Worker
  • Patchogue, NY
  • NPI 1588917785
  Authorized official Same address or phone

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1659284305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CLIFF RD W",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921240",
            "telephone_number": "631-838-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CLIFF RD W",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921240",
            "telephone_number": "631-838-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE LICENSED CLINICAL SOCIAL WORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-838-7183",
        "authorized_official_credential": "PHD LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle Marie Horstmann, RPH
• Nasif Hossain, PHARM D
• Taylor June Howell
• Michelle Marie Iannone, M.S.
• Alissa Iervese
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• J N Brodbeck DC PLLC (Brodbeck Chiropractic)
• J on N Eil Brodbeck DC PLLC

• Clinical Social Worker in Wading River, NY
• Providers in Wading River, 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 Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.