Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossoms of Change Counseling LCSW PLLC

Organization Clinical Social Worker · NPI 1962271262

Blossoms of Change Counseling LCSW PLLC is a Clinical Social Worker in West Islip, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

343 Oak Neck Rd
West Islip, NY 11795-3616
Phone: (631) 793-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1962271262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Jacobson — Sole Member · (631) 793-5250
NPI enumeratedDecember 27, 2023
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023
Mailing address343 Oak Neck Rd, West Islip, NY 11795-3616

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