Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lighthouse Integrative Counseling Services LCSW Marriage and Family Th

Organization Clinical Social Worker · NPI 1699135566

Lighthouse Integrative Counseling Services LCSW Marriage and Family Th is a Clinical Social Worker in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

414 Main St Ste 203A
Port Jefferson, NY 11777-1686
Phone: (631) 478-3292
Fax: (631) 476-1302
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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 073603 (NY)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 000230 (NY)

Record details

NPI number1699135566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Conelli — Founder/Director · (631) 478-3292
NPI enumeratedMarch 4, 2016
Last updated in NPPESMarch 4, 2016
Mailing address414 Main St Ste 203a, Port Jefferson, NY 11777-1686

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