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

Mindful Realization LLC

Organization Social Worker · NPI 1770439648

Mindful Realization LLC is a Social Worker in Northport, New York. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

160 Laurel Ave
Northport, NY 11768-3168
Phone: (631) 971-8772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4 Haig Pl, Kings Park, NY 11754-5111 — (631) 971-8772

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X

Record details

NPI number1770439648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caitlin Clouse — Founder · (631) 971-8772
NPI enumeratedMarch 4, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address4 Haig Pl, Kings Park, NY 11754-5111

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