Southshore Counseling Mediation and Licensed Clinical Social Work Serv
NPI 1366684078 · Clinical Social Worker · Brookhaven, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southshore Counseling Mediation and Licensed Clinical Social Work Serv is a Clinical Social Worker organization in Brookhaven, NY (NPI 1366684078).
Provider details
- NPI number
- 1366684078
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Cavaleri, Executive Officer(631) 286-8282
- License
- 075548-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-26
- Last updated
- 2016-04-15
Frequently asked questions
- What is Southshore Counseling Mediation and Licensed Clinical Social Work Serv's NPI number?
- Southshore Counseling Mediation and Licensed Clinical Social Work Serv's National Provider Identifier (NPI) is 1366684078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southshore Counseling Mediation and Licensed Clinical Social Work Serv?
- Southshore Counseling Mediation and Licensed Clinical Social Work Serv is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Southshore Counseling Mediation and Licensed Clinical Social Work Serv located?
- Southshore Counseling Mediation and Licensed Clinical Social Work Serv's practice location on file with NPPES is 36 Edgar Ave, Brookhaven, NY 11719-9655.
- What is Southshore Counseling Mediation and Licensed Clinical Social Work Serv's phone number?
- The practice phone number listed in the NPPES registry for Southshore Counseling Mediation and Licensed Clinical Social Work Serv is (631) 286-8282.
- Does Southshore Counseling Mediation and Licensed Clinical Social Work Serv accept Medicare?
- Southshore Counseling Mediation and Licensed Clinical Social Work Serv is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southshore Counseling Mediation and Licensed Clinical Social Work Serv?
- The authorized official listed on Southshore Counseling Mediation and Licensed Clinical Social Work Serv's NPPES record is Michelle Cavaleri, Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southshore Counseling Mediation and Licensed Clinical Social Work Serv's NPI active?
- Yes — Southshore Counseling Mediation and Licensed Clinical Social Work Serv's NPI (1366684078) is active in the NPPES registry as of the last update on 2016-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.