Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Integrative Licensed Clinical Social Work PLLC

Organization Clinical Social Worker · NPI 1659284305

Integrative Licensed Clinical Social Work PLLC provides Clinical Social Worker services in Wading River, New York. Registered with an NPI since 2026.

In the registry since
2026
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

112 Cliff Rd W
Wading River, NY 11792-1240
Phone: (631) 838-7183
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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 number1659284305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Hendrickson — Owner · (631) 838-7183
NPI enumeratedSeptember 24, 2026
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026
Mailing address112 Cliff Rd W, Wading River, NY 11792-1240

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