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

South Shore Counseling LCSW, PLLC

Organization Clinical Social Worker · NPI 1306551080

South Shore Counseling LCSW, PLLC provides Clinical Social Worker services in Oakdale, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

755 Main St Ste 3
Oakdale, NY 11769-1801
Phone: (631) 678-7170
Fax: (631) 224-8940
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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 number1306551080
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Dimitri — Co-Owner · (631) 678-7170
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 22, 2024
Certification dateDecember 8, 2023
Mailing address116 Biltmore Ave, Oakdale, NY 11769-1157

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