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

Deeper Well Counseling LCSW PC

Organization Clinical Social Worker · NPI 1407700891

Deeper Well Counseling LCSW PC is a Clinical Social Worker in Valley Stream, New York. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Fletcher Ave
Valley Stream, NY 11580-4040
Phone: (631) 605-7516
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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 number1407700891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Blanc — Owner · (631) 605-7516
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address25 Fletcher Ave, Valley Stream, NY 11580-4040

Other providers in Valley Stream