Active NPI
Safe Shore Therapy LCSW, PLLC
- Clinical Social Worker
- Bay Shore, NY
National Provider Identifier
1922965748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SAFE SHORE THERAPY LCSW, PLLC
- Practice address
- 68 Johnson LN
Bay Shore, NY 11706-7813 - Phone
- (631) 319-0106
- NPI assigned
- Jan 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Edward Sieban, LCSW
- Title
- Member-Manager
- Phone
- (631) 319-0106
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
68 Johnson LN
Bay Shore, NY 11706-7813
Mailing address
244 E Main St Ste 119
East Islip, NY 11730-2712
Phone (631) 319-0106
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Baldwin, NY
- NPI 1750956728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1922965748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 E MAIN ST STE 119",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302712",
"telephone_number": "631-319-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 JOHNSON LN",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117067813",
"telephone_number": "631-319-0106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE SHORE THERAPY LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A",
"authorized_official_last_name": "SIEBAN",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "MEMBER-MANAGER",
"authorized_official_telephone_number": "631-319-0106",
"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": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.