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

Shoreham Psychotherapy Services LCSW PLLC

Organization Clinical Social Worker · NPI 1669860573

Shoreham Psychotherapy Services LCSW PLLC is a Clinical Social Worker in Shoreham, New York. Licensed in Massachusetts and New York. Registered with an NPI since 2014.

Licensed in
MA, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

45 Route 25A Ste A2
Shoreham, NY 11786-1389
Phone: (631) 821-5056
Fax: (631) 821-5056
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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 R022772 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 117957 (MA)

Record details

NPI number1669860573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Lee Hasbrouck — President · (631) 821-5056
NPI enumeratedDecember 30, 2014
Last updated in NPPESDecember 30, 2014
Mailing address45 Route 25a, Suite A2, Shoreham, NY 11786-1389

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