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

Individual provider Social Worker · NPI 1942757273

Adina Sara Tabor, LCSW, LICSW is a Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1050 Hallock Ave Rm 102
Port Jefferson Station, NY 11776-1214
Phone: (856) 282-5590
Fax: (856) 320-9854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 E 20th St, New York, NY 10003-1308 — (786) 244-7711

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 088375 (NY)
Social Worker Taxonomy 104100000X · Licence 093897 (NY)

Record details

NPI number1942757273
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 2, 2016
Last updated in NPPESApril 26, 2025
Certification dateApril 26, 2025

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