IndividualActive
Carolyn Peabody, PH.D., L.C.S.W.
NPI 1902061997 · Clinical Social Worker · Southold, NY
Provider details
- NPI number
- 1902061997
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- PH.D., L.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- License
- R038969-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
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
53840 Main Rd
Southold, NY 11971-4625
Phone: (631) 323-1333
Fax: (631) 323-3824
Street-level locationGet directions
Mailing address
970 Greenway E
Orient, NY 11957-1314
Registry dates
- Enumerated
- 2008-07-19
- Last updated
- 2008-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.