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

Individual provider Clinical Social Worker · NPI 1245968551

Marlene Tianne Dmytryshyn I, LCSW is a Clinical Social Worker in Setauket, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

3 Silver Beech Ct
Setauket, NY 11733-4039
Phone: (631) 252-2907
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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 087796 (NY)

Record details

NPI number1245968551
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 13, 2022
Last updated in NPPESAugust 13, 2022
Certification dateAugust 13, 2022

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