NPIMap

Organization Active NPI

Community Counseling & LCSW Services PC

Doing business as Community Counseling & LCSW Services

  • Clinical Social Worker
  • Center Moriches, NY
National Provider Identifier
1770819690
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071373-1 Issued in NY
Legal business name
COMMUNITY COUNSELING & LCSW SERVICES PC
Doing business as
Community Counseling & LCSW Services
Practice address
234 Main St
Center Moriches, NY 11934
Phone
(631) 874-0185
Fax
(631) 909-3558
NPI assigned
Oct 28, 2009
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Ms. Marina Roux, LCSWNPI 1144316076
Title
President
Phone
(631) 874-0185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 071373-1 NY Primary

Addresses

Primary practice location

234 Main St
Center Moriches, NY 11934

Mailing address

234 Main St
Center Moriches, NY 11934-3514
Phone (631) 874-0185

Other names 1

  • Community Counseling & LCSW Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000665 NY Part B Supplier - Clinic/Group Practice 3577605617 Receives reassigned benefits from 34 practitioners
Practice locations: Center Moriches, NY

National Provider Directory

National Provider Directory

Locations

234 Main St
Ste 3
Ctr Moriches, NY 11934
Phone (631) 878-7106

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

408 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1770819690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343514",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING & LCSW SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "ROUX",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-874-0185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071373-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Counseling & LCSW Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Center Moriches, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.