Individual provider · Type 1 NPI

Violet Ann Mandracchia, MA CEAS LCSW

Psychologist · Stony Brook, NY

NPI number 1104979079 Active

Practice location

15 Shore Oaks Drive
Stony Brook, NY 11790

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLR042082 (NY)
Clinical Social Worker 1041C0700XLR042082 (NY)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1104979079

Violet Ann Mandracchia, MA CEAS LCSW's National Provider Identifier is 1104979079, issued on Jan 22, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 11, 2025.