New York Licensed Clinical Social Work, PC
NPI 1669138699 · Clinical Social Worker · Islip, NY
New York Licensed Clinical Social Work, PC is a Clinical Social Worker organization in Islip, NY (NPI 1669138699).
Provider details
- NPI number
- 1669138699
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kimberly Mann, Credentialing Manager(901) 422-7608
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
4 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
- 2021-11-15
- Last updated
- 2021-12-27
- Certified
- 2021-12-27
Frequently asked questions
- What is New York Licensed Clinical Social Work, PC's NPI number?
- New York Licensed Clinical Social Work, PC's National Provider Identifier (NPI) is 1669138699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is New York Licensed Clinical Social Work, PC?
- New York Licensed Clinical Social Work, PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is New York Licensed Clinical Social Work, PC located?
- New York Licensed Clinical Social Work, PC's practice location on file with NPPES is 5 Bertram St, Islip, NY 11751-1001.
- What is New York Licensed Clinical Social Work, PC's phone number?
- The practice phone number listed in the NPPES registry for New York Licensed Clinical Social Work, PC is (866) 949-0108.
- Who is the authorized official for New York Licensed Clinical Social Work, PC?
- The authorized official listed on New York Licensed Clinical Social Work, PC's NPPES record is Kimberly Mann, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is New York Licensed Clinical Social Work, PC's NPI active?
- Yes — New York Licensed Clinical Social Work, PC's NPI (1669138699) is active in the NPPES registry as of the last update on 2021-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.