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

Crescent Light Counseling, LCSW, PLLC

Organization Clinical Social Worker · NPI 1275280620

Crescent Light Counseling, LCSW, PLLC is a Clinical Social Worker in Port Jefferson, New York. Registered with an NPI since 2022.

In the registry since
2022
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

646 Main St Ste 102
Port Jefferson, NY 11777-2230
Phone: (631) 772-9395
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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 number1275280620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Schultz — Manager/Owner · (631) 617-3696
NPI enumeratedMarch 6, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address646 Main St Ste 102, Port Jefferson, NY 11777-2230

Other providers in Port Jefferson