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

Phoenix Houseof Ny, Inc

Organization Clinical Social Worker · NPI 1710122536

Phoenix Houseof Ny, Inc is a Clinical Social Worker in East Hampton, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

283 Springs Fireplace Rd
East Hampton, NY 11937-4823
Phone: (631) 329-0373
Fax: (631) 907-9345
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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 069641 (NY)

Record details

NPI number1710122536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Rothar — Social Worker · (631) 329-0373
NPI enumeratedDecember 8, 2008
Last updated in NPPESDecember 8, 2008
Mailing address283 Springs Fireplace Rd, East Hampton, NY 11937-4823

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