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

Carolyn Wasik-Petersen, LCSW-R

Individual provider Clinical Social Worker · NPI 1619366085

Carolyn Wasik-Petersen, LCSW-R is a Clinical Social Worker in Middle Island, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

19 N St
Middle Island, NY 11953-1757
Phone: (516) 380-0005
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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 PR046337-1 (NY)

Record details

NPI number1619366085
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedJanuary 22, 2015
Last updated in NPPESJanuary 22, 2015

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