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

South Bay Counseling, LCSW PC

Organization Clinical Social Worker · NPI 1992112510

South Bay Counseling, LCSW PC is a Clinical Social Worker in Amityville, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

191 Broadway
Amityville, NY 11701-2790
Phone: (631) 264-0058
Fax: (631) 264-0056
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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 069889 (NY)

Record details

NPI number1992112510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elissa Grunblatt — President/Owner · (631) 264-0058
NPI enumeratedJuly 15, 2014
Last updated in NPPESMay 5, 2017
Mailing address191 Broadway, Amityville, NY 11701-2790

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