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

Individual provider Clinical Social Worker · NPI 1881978138

Andrea Lynn Cangiano, LCSW is a Clinical Social Worker in Port Jefferson Station, New York. Qualified in 2004, 22 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
22
Licensed in
CA, NY
In the registry since
2011
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.

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Practice location Address checks out

1050 Hallock Ave Ste 4
Port Jefferson Station, NY 11776-1214
Phone: (631) 203-7642
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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 088761 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 23865 (CA)

Record details

NPI number1881978138
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 5, 2011
Last updated in NPPESJuly 16, 2024
Certification dateJune 14, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Jefferson Station