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

Great South Bay Therapy LCSW PC

Organization Clinical Social Worker · NPI 1710468517

Great South Bay Therapy LCSW PC provides Clinical Social Worker services in Bayport, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
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

972 Montauk Hwy
Bayport, NY 11705-1612
Phone: (631) 472-2629
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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 · Licence R03699 (NY)

Record details

NPI number1710468517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Flanagan — President · (631) 472-2629
NPI enumeratedAugust 28, 2018
Last updated in NPPESJune 11, 2019
Mailing address972 Montauk Hwy, Bayport, NY 11705-1612

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