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

Mr. Kenneth Robert Sergiacomi, LMSW

Individual provider Social Worker · NPI 1336355395

Mr. Kenneth Robert Sergiacomi, LMSW is a Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1050 Hallock Ave Ste 4
Port Jefferson Station, NY 11776-1214
Phone: (631) 384-0624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 0735881-1 (NY)
Counselor Taxonomy 101Y00000X · Licence 0735881-1 (NY)

Record details

NPI number1336355395
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESOctober 17, 2007

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