Individual provider · Type 1 NPI

Cheryl Livian, LMSW

Clinical Social Worker · Port Jefferson, NY

NPI number 1194678466 Active

Practice location

1227 Main St Ste 201
Port Jefferson, NY 11777-2227

Mailing address

84 Port Ave
Ronkonkoma, NY 11779-5930

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X121652-01 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194678466

Cheryl Livian, LMSW's National Provider Identifier is 1194678466, issued on Feb 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Feb 17, 2026.