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

Living Waters LCSW PC

Organization Clinical Social Worker · NPI 1780856062

Living Waters LCSW PC is a Clinical Social Worker in Greenlawn, New York. Registered with an NPI since 2008.

In the registry since
2008
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

29 Northgate Dr
Greenlawn, NY 11740-2312
Phone: (631) 271-0913
Fax: (631) 261-3250
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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 number1780856062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Rubano — President · (631) 754-3990
NPI enumeratedMarch 27, 2008
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address29 Northgate Dr, Greenlawn, NY 11740-2312

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