Organization Active NPI

Clinical Therapeutic Services of Long Island,LCSW,PLLC

  • Clinical Social Worker
  • Merrick, NY
National Provider Identifier
1942446802
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069998-R Issued in NY
Legal business name
CLINICAL THERAPEUTIC SERVICES OF LONG ISLAND,LCSW,PLLC
Practice address
3051 Hewlett Ave
Merrick, NY 11566-5314
Phone
(516) 333-8523
Fax
(516) 223-1712
NPI assigned
Dec 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Mrs. Caran Leib, LCSW
Title
President
Phone
(516) 333-8523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 069998-R NY Primary

Addresses

Primary practice location

3051 Hewlett Ave
Merrick, NY 11566-5314

Mailing address

3051 Hewlett Ave
Merrick, NY 11566-5314
Phone (516) 333-8523

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1942446802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 HEWLETT AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665314",
            "telephone_number": "516-333-8523",
            "fax_number": "516-223-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 HEWLETT AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665314",
            "telephone_number": "516-333-8523",
            "fax_number": "516-223-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL THERAPEUTIC SERVICES OF LONG ISLAND,LCSW,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-25",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "LEIB",
        "authorized_official_first_name": "CARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-333-8523",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069998-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.