| South Shore Counseling Lcsw, Pllc | |
|
755 Main St Ste 3 Oakdale NY 11769-1801 | |
| (631) 678-7170 | |
| (631) 224-8940 |
| Full Name | South Shore Counseling Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 755 Main St Ste 3, Oakdale, New York |
| Authorized Official Name and Position | Lisa Dimitri (CO-OWNER) |
| Authorized Official Contact | 6316787170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Counseling Lcsw, Pllc 116 Biltmore Ave Oakdale NY 11769-1157 Ph: (631) 678-7170 | South Shore Counseling Lcsw, Pllc 755 Main St Ste 3 Oakdale NY 11769-1801 Ph: (631) 678-7170 |
| NPI Number | 1306551080 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/22/2024 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306551080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Nicholas A. Cavuoto, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1563 Montauk Hwy, Oakdale, NY 11769 Phone: 631-563-3162 Fax: 631-563-3185 | |
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