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

Rise Therapy LCSW PC

Organization Clinical Social Worker · NPI 1225749195

Rise Therapy LCSW PC is a Clinical Social Worker in Port Jefferson Station, New York. Registered with an NPI since 2022.

In the registry since
2022
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

1660 Route 112 Ste B
Port Jefferson Station, NY 11776-8057
Phone: (631) 253-8512
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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 number1225749195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Pace — Owner · (631) 253-8512
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address1660 Route 112 Ste B, Port Jefferson Station, NY 11776-8057

Other providers in Port Jefferson Station