OrganizationActive
Shoreham Psychotherapy Services Lcsw PLLC
NPI 1669860573 · Clinical Social Worker · Shoreham, NY
Provider details
- NPI number
- 1669860573
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mary Lee Hasbrouck, President(631) 821-5056
- License
- 117957 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
45 Route 25a
Suite A2
Shoreham, NY 11786-1389
Phone: (631) 821-5056
Fax: (631) 821-5056
Street-level locationGet directions
Mailing address
45 Route 25a
Shoreham, NY 11786-1389
Registry dates
- Enumerated
- 2014-12-30
- Last updated
- 2014-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.