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

Live Well Psychotherapy LCSW PLLC

Organization Clinical Social Worker · NPI 1245995372

Live Well Psychotherapy LCSW PLLC is a Clinical Social Worker in Farmingdale, New York. Registered with an NPI since 2021.

In the registry since
2021
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

100 Broadhollow Rd Ste 108
Farmingdale, NY 11735-4813
Phone: (631) 769-7763
Fax: (631) 769-7763
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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 number1245995372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Ceballos — Owner/Psychotherapist · (631) 769-7763
NPI enumeratedNovember 3, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021
Mailing address26 Wilson Ave, Deer Park, NY 11729-6714

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