Organization · Type 2 NPI

Lighthouse Integrative Counseling Services LCSW Marriage and Family TH

Clinical Social Worker · Port Jefferson, NY

NPI number 1699135566 Active

Practice location

414 Main St Ste 203A
Port Jefferson, NY 11777-1686

Fax (631) 476-1302

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X073603 (NY)
Marriage & Family Therapist 106H00000X000230 (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 1699135566

Lighthouse Integrative Counseling Services LCSW Marriage and Family TH's National Provider Identifier is 1699135566, issued on Mar 4, 2016. 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 Mar 4, 2016.