Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rise Therapy LCSW PC

Organization Clinical Social Worker · NPI 1225749195

Rise Therapy LCSW PC provides Clinical Social Worker services in Port Jefferson Station, New York. Registered with an NPI since 2022.

In the registry since
2022
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

1660 Route 112 Ste B
Port Jefferson Station, NY 11776-8057
Phone: (631) 253-8512
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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 number1225749195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Pace — Owner · (631) 253-8512
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address1660 Route 112 Ste B, Port Jefferson Station, NY 11776-8057

Other providers in Port Jefferson Station