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

Lighthouse Integrative Counseling Services LCSW Marriage and Family Th

Organization Clinical Social Worker · NPI 1699135566

Lighthouse Integrative Counseling Services LCSW Marriage and Family Th provides Clinical Social Worker services in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

414 Main St Ste 203A
Port Jefferson, NY 11777-1686 Not confirmed with CMS for 10 years — call before visiting
Phone: (631) 478-3292
Fax: (631) 476-1302
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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 073603 (NY)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 000230 (NY)

Record details

NPI number1699135566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Conelli — Founder/Director · (631) 478-3292
NPI enumeratedMarch 4, 2016
Last updated in NPPESMarch 4, 2016
Mailing address414 Main St Ste 203a, Port Jefferson, NY 11777-1686

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