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

Residential Psychotherapies, Csw, PC

Organization Social Worker · NPI 1063437911

Residential Psychotherapies, Csw, PC provides Social Worker services in Kings Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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

42 Old Northport Rd
Kings Park, NY 11754 Not confirmed with CMS for 12 years — call before visiting
Phone: (631) 366-0417
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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 R26799 (NY)
Social Worker Taxonomy 104100000X · Licence RO26799 (NY)

Record details

NPI number1063437911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Nemiroff — Ceo · (631) 366-0417
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 11, 2014
Mailing address42 Old Northport Rd., Kings Park, NY 11754

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