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

Residential Psychotherapies, Csw, PC

Organization Social Worker · NPI 1063437911

Residential Psychotherapies, Csw, PC is a Social Worker in Kings Park, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
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

42 Old Northport Rd
Kings Park, NY 11754
Phone: (631) 366-0417
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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 R26799 (NY)
Social Worker Taxonomy 104100000X · Licence RO26799 (NY)

Record details

NPI number1063437911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Nemiroff — Ceo · (631) 366-0417
NPI enumeratedJuly 13, 2006
Last updated in NPPESApril 11, 2014
Mailing address42 Old Northport Rd., Kings Park, NY 11754

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