Blossom Counseling Services LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLOSSOM COUNSELING SERVICES LCSW PLLC

Practice address

40 Montauk Hwy
Southampton, NY 11968-4119

Phone

(631) 953-3249

NPI assigned

Apr 14, 2025

Last updated

Apr 14, 2025By 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

Aiyana Smith, LCSWNPI 1669983219

Title

Owner

Phone

(631) 953-3249

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Aiyana Smith, LCSW

  • Clinical Social Worker
  • Southampton, NY
  • NPI 1669983219
  Medicare reassignment NPD Authorized official
• Christine Cantrell, LCSW, CASAC

  • Clinical Social Worker
  • Southampton, NY
  • NPI 1902058464
  Medicare reassignment NPD

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1942095682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 HILL ST STE 114",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MONTAUK HWY",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684119",
            "telephone_number": "631-953-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM COUNSELING SERVICES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AIYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-953-3249",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Bennett, COTA
• Saira Zia Bhatti, DO
• Stephany Blatty
• George Bleicher
• Blossom Counseling Services
• Megan Jean Bock, PHARM. D
• Premsai Bondalapati
• James Brady, M.D.
• Christine Brennan
• Gary Neal Brenner, DMD

• Clinical Social Worker in Southampton, NY
• Providers in Southampton, 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 Apr 14, 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.