Emily Hennessey, LMSW – Social Worker in Shoreham, NY

Key facts

NPI: 1972285245
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 119721 (NY)
Practice address: 250B Route 25a
Shoreham, NY 11786-2106
Phone: (631) 849-0207
NPI assigned: Aug 4, 2023
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

North Shore Youth Council Inc Mental Health Counselor · Rocky Point, NY · NPI 1255924775

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
119721	NY	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
North Shore Youth Council Inc		Current since Aug 6, 2023	Accepting new patients

Locations

525 Route 25A
Rocky Point, NY 11778
Phone (631) 744-0207

250B Route 25A
Shoreham, NY 11786
Phone (631) 821-8100

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	119721	NY	Yes

Addresses

Primary practice location

250B Route 25a
Shoreham, NY 11786-2106

Mailing address

525 Route 25a
Rocky Point, NY 11778-8885
Phone (631) 744-0207

Other providers in Shoreham, NY

All providers in Shoreham, NY · Social Worker in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.