IndividualActive
Abigail Rothenberg, LCSW
NPI 1558569285 · Clinical Social Worker · Port Jefferson, NY
Provider details
- NPI number
- 1558569285
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 098883 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
118 Spring St
Port Jefferson, NY 11777-1817
Phone: (631) 844-5651
Fax: (631) 844-5641
Approximate (ZIP-level) locationGet directions
Mailing address
42 Province Dr
South Setauket, NY 11720-4617
Additional practice locations (1)
- 480 Old Westbury RdRoslyn Heights, NY 11577-2215Phone: (516) 299-5373Fax: (516) 299-5293
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2025-07-14
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.