Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Salvatore Pennetti, LCSW-R

Individual provider Clinical Social Worker · NPI 1821082959

Mr. Salvatore Pennetti, LCSW-R is a Clinical Social Worker in Port Jefferson, New York. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

1000 Main St
Port Jefferson, NY 11777-2250
Phone: (631) 828-8600
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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 070120-1 (NY)

Record details

NPI number1821082959
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedSeptember 5, 2005
Last updated in NPPESFebruary 21, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson