Liberty Arms Counseling LCSW PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIBERTY ARMS COUNSELING LCSW PC

Practice address

970 Sunrise Hwy
West Babylon, NY 11704-6110

Phone

(631) 914-9494

Fax

(631) 914-9494

NPI assigned

Dec 12, 2025

Organization subpart

No

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

Authorized official

Name

Robin R GardnerNPI 1326411737

Title

Authorized Official of Liberty Arms

Phone

(516) 819-9769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Robin R Gardner

  • Clinical Social Worker
  • West Babylon, NY
  • NPI 1326411737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1982568168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 TIPTON DR E",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673616",
            "telephone_number": "631-914-9494",
            "fax_number": "631-914-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046110",
            "telephone_number": "631-914-9494",
            "fax_number": "631-914-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY ARMS COUNSELING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL OF LIBERTY ARMS",
        "authorized_official_telephone_number": "516-819-9769"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Leveridge
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• Robert Lindros, RN
• Rowan Lindsay, PMHNP

• Mental Health Counselor in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.