Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Theresa Emily Harkins-Jaisle, LCSW

Individual provider Clinical Social Worker · NPI 1932310208

MS. Theresa Emily Harkins-Jaisle, LCSW is a Clinical Social Worker in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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

1063 Manor Ln
Bay Shore, NY 11706-6224
Phone: (631) 366-5802
Fax: (631) 366-5884
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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 073104 (NY)

Record details

NPI number1932310208
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 25, 2007
Last updated in NPPESJuly 8, 2007

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