Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blossoms of Change Counseling LCSW PLLC

Organization Clinical Social Worker · NPI 1962271262

Blossoms of Change Counseling LCSW PLLC provides Clinical Social Worker services in West Islip, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

343 Oak Neck Rd
West Islip, NY 11795-3616
Phone: (631) 793-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1962271262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Jacobson — Sole Member · (631) 793-5250
NPI enumeratedDecember 27, 2023
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address343 Oak Neck Rd, West Islip, NY 11795-3616

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