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

Jeffrey Witherspoon, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053706739

Jeffrey Witherspoon, CASAC is an Addiction (Substance Use Disorder) Counselor in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

98 Division Ave
Massapequa, NY 11758-7101
Phone: (516) 398-7298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6560 (NY)

Record details

NPI number1053706739
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015
Mailing address98 Division Ave, Massapequa, NY 11758-7101

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