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

Alyssa Sarah Atkins

Individual provider Clinical Social Worker · NPI 1902402084

Alyssa Sarah Atkins is a Clinical Social Worker in Port Jefferson, New York. Qualified in 2019, 7 years ago. Practices with Janice Martin Licensed Clinical Social Worker PC, a 7-clinician group. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

710 Main St
Port Jefferson, NY 11777-2278
Phone: (631) 757-5279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 107791 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 095044-01 (NY)

Record details

NPI number1902402084
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2020
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Janice Martin Licensed Clinical Social Worker Pc — 7 clinicians
Accepts Medicare assignment Not indicated

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