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

Impact LCSW Counseling Services, PC

Organization Clinical Social Worker · NPI 1972522902

Impact LCSW Counseling Services, PC is a Clinical Social Worker in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

2760 Middle Country Rd Ste 1
Lake Grove, NY 11755-2113
Phone: (631) 467-3181
Fax: (631) 467-3185
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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 · Licence R043837-1 (NY)

Record details

NPI number1972522902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Brunjes — Ceo/Clinical Director · (631) 467-3181
Other names Impact Counseling Services
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2760 Middle Country Rd, Suite 1, Lake Grove, NY 11755-2113

Other providers in Lake Grove