Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane Gavares Licensed Clinical Social Worker PC

Organization Clinical Social Worker · NPI 1417582909

Diane Gavares Licensed Clinical Social Worker PC is a Clinical Social Worker in Shoreham, New York. Registered with an NPI since 2020.

In the registry since
2020
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

3 Middle Cross
Shoreham, NY 11786-1441
Phone: (631) 849-2341
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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 number1417582909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Gavares — Licensed Clinical Social Worker · (631) 849-2341
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 5, 2020
Certification dateMarch 5, 2020
Mailing address3 Middle Cross, Shoreham, NY 11786-1441

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