Organization · Type 2 NPI

Suffolk Family Therapy LCSW P.c.

Clinical Social Worker · Bohemia, NY

NPI number 1356977177 Active

Practice location

4109 Sunrise Hwy
Bohemia, NY 11716-4600

Call (631) 503-1539 Map

Other practice locations

  • 732 Smithtown Byp Ste A52, Smithtown, NY 11787-5020 · (631) 503-1539

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1356977177

Suffolk Family Therapy LCSW P.c.'s National Provider Identifier is 1356977177, issued on Mar 13, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bohemia, NY. The record was last updated on Oct 23, 2026.