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

Mr. Thomas McIntyre, LCSW

Individual provider Clinical Social Worker · NPI 1366477309

Mr. Thomas McIntyre, LCSW is a Clinical Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

1050 Hallock Ave
Port Jefferson Station, NY 11776-1214
Phone: (631) 804-4699
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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 R053696 (NY)

Record details

NPI number1366477309
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 8, 2007

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