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

Georgia Koutouzis, LCSW

Individual provider Social Worker · NPI 1265943989

Georgia Koutouzis, LCSW is a Social Worker in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

425 Old Town Rd Fl 1
Port Jefferson Station, NY 11776-3627
Phone: (631) 209-7042
Fax: (631) 840-4780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 101705 (NY)

Record details

NPI number1265943989
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 20, 2017
Last updated in NPPESOctober 1, 2023
Certification dateOctober 1, 2023

Other providers in Port Jefferson Station