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

Fire Island Pines Psychotherapy LCSW PLLC

Organization Clinical Social Worker · NPI 1396571667

Fire Island Pines Psychotherapy LCSW PLLC is a Clinical Social Worker in Bohemia, New York. Registered with an NPI since 2024.

In the registry since
2024
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

606 Johnson Ave Ste 9
Bohemia, NY 11716-2687
Phone: (631) 201-9692
Fax: (631) 203-9599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1396571667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathew Skrezyna-Wunsch — Founder & Psychotherapist · (631) 201-9692
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address293 Sunrise Dr, Sayville, NY 11782-2041

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