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

Stillwater Therapy LCSW PC

Organization Clinical Social Worker · NPI 1053550624

Stillwater Therapy LCSW PC is a Clinical Social Worker in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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

1840 Union Blvd
Bay Shore, NY 11706-7932
Phone: (631) 647-7885
Fax: (631) 647-7893
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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 RP25669-1 (NY)

Record details

NPI number1053550624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shafer Zysman — President · (631) 647-7885
NPI enumeratedFebruary 5, 2009
Last updated in NPPESFebruary 5, 2009
Mailing address1840 Union Blvd, Bay Shore, NY 11706-7932

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