Southshore Counseling Mediation and Licensed Clinical Social Work Serv
Southshore Counseling Mediation and Licensed Clinical Social Work Serv provides Clinical Social Worker services in Brookhaven, New York. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
Practice location Address checks out
36 Edgar AveBrookhaven, NY 11719-9655 Not confirmed with CMS for 10 years — call before visiting
Phone: (631) 286-8282
Fax: (631) 803-6793
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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 075548-1 (NY) |
|---|
Record details
| NPI number | 1366684078 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Cavaleri — Executive Officer · (631) 286-8282 |
| NPI enumerated | March 26, 2009 |
| Last updated in NPPES | April 15, 2016 |
| Mailing address | 36 Edgar Ave, Brookhaven, NY 11719-9655 |
Other providers in Brookhaven
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Kamila Kulakowska, LMSW
40 Old South Country Rd, Brookhaven, NY 11719-9527 · (631) 466-4885
-
MS. Elaine Lacks, LCSW
14 Highview Blvd, Brookhaven, NY 11719-9729 · (631) 580-9209
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Shannon Rose Marshall, LCSW
9 Newey Ln, Brookhaven, NY 11719-9634 · (631) 332-3344
-
Paul McGuinness
36 Edgar Ave, Brookhaven, NY 11719-9655 · (631) 286-8282