| Safe Shore Therapy Lcsw, Pllc | |
|
68 Johnson Ln Bay Shore NY 11706-7813 | |
| (631) 319-0106 | |
| Not Available |
| Full Name | Safe Shore Therapy Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 68 Johnson Ln, Bay Shore, New York |
| Authorized Official Name and Position | Nicholas Edward Sieban (MEMBER-MANAGER) |
| Authorized Official Contact | 6313190106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Shore Therapy Lcsw, Pllc 244 E Main St Ste 119 East Islip NY 11730-2712 Ph: (631) 319-0106 | Safe Shore Therapy Lcsw, Pllc 68 Johnson Ln Bay Shore NY 11706-7813 Ph: (631) 319-0106 |
| NPI Number | 1922965748 |
|---|---|
| Provider Enumeration Date | 01/05/2026 |
| Last Update Date | 01/05/2026 |
| Certification Date | 01/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922965748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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