SOUTH BAY COUNSELING, LCSW PC (NPI# 1992112510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992112510 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY COUNSELING, LCSW PC |
| Practice Address |
191 Broadway Amityville NY 11701-2790 |
| Practice Telephone | 6312640058 |
| Practice Fax Number | 6312640056 |
| Mailing Telephone | 6312640058 |
| Mailing Fax Number | 6312640056 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | ELISSA GRUNBLATT (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6312640058 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
069889 | NY | Behavioral Health & Social Service Providers |
| Street Address |
191 BROADWAY |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701-2790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321741 | Carolyn Jeanne Farella | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2005-10-26 |
| 1841750890 | Dani M Cleary | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2019-03-24 |
| 1619448115 | Gold Coast Mental Health Counseling | Clinic/Center | 191 Broadway, Amityville, NY 11701-2790 | 2018-12-09 |
| 1831606599 | Megan Morrison | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2018-01-03 |
| 1720436199 | Stacey Katz | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2016-05-26 |
| 1528481595 | Lauren Kolonoskie | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2014-01-28 |
| 1801135470 | Victoria Morabito | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2013-02-02 |
| 1285985325 | Jaclyn Joann Sullivan | Marriage & Family Therapist | 191 Broadway, Amityville, NY 11701-2790 | 2012-09-28 |
| 1407105844 | Linsey K Harrison | Social Worker | 191 Broadway, Amityville, NY 11701-2790 | 2012-08-30 |
| 1760744981 | Kelly Ann Flynn | Counselor | 191 Broadway, Amityville, NY 11701-2790 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751492 | Amanda Katherine Egan | Social Worker | 14 Rodney Pl, Amityville, NY 11701-2613 | 2017-10-17 |
| 1023494754 | Jacqueline Rosario | Social Worker | 118 Kenneth Ct, Amityville, NY 11701-1557 | 2015-08-04 |
| 1275910457 | Candice Jarvis | Social Worker | 615 Broadway Apt 31, Amityville, NY 11701-2140 | 2015-04-27 |
| 1023400918 | Jennifer Riley | Social Worker | 77 Broadway 7, Amityville, NY 11701-2714 | 2015-03-02 |
| 1881961753 | Dawn Melinda Knapper | Social Worker | 15 Harrison Ave Apt 64g, Amityville, NY 11701-2435 | 2011-11-21 |
| 1417237439 | Juliet M Ahl | Social Worker | 1 Ireland Place, Suite 1, 2nd Floor, Amityville, NY 11701 | 2011-08-22 |
| 1174841092 | Shirley Eason Cole | Social Worker | 835 Broadway, Amityville, NY 11701 | 2010-05-17 |
| 1427259910 | Maria Abate-emde | Social Worker | 77 Broadway Unit 7, Amityville, NY 11701-2714 | 2007-05-30 |
| 1790993665 | Patricia Ann Flaherty | Social Worker | 64 Hamilton St, Amityville, NY 11701-3536 | 2007-05-21 |
| 1720106164 | Jim Morabito | Social Worker | 37 John St, Amityville, NY 11701-2930 | 2007-03-26 |
| Find all providers in AMITYVILLE | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.