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

Diane Gavares Licensed Clinical Social Worker PC

Organization Clinical Social Worker · NPI 1417582909

Diane Gavares Licensed Clinical Social Worker PC provides Clinical Social Worker services in Shoreham, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Middle Cross
Shoreham, NY 11786-1441
Phone: (631) 849-2341
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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 number1417582909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Gavares — Licensed Clinical Social Worker · (631) 849-2341
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020
Mailing address3 Middle Cross, Shoreham, NY 11786-1441

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