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Southshore Counseling Mediation and Licensed Clinical Social Work Serv

Clinical Social Worker in Brookhaven, NY · enumerated 2009 · authorized official Michelle Cavaleri, Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366684078

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Registry record

Entity type Organization (Type 2)
Legal business name Southshore Counseling Mediation and Licensed Clinical Social Work Serv
Practice address 36 Edgar Ave, Brookhaven, NY, 11719
Phone (631) 286-8282
Fax (631) 803-6793
Enumeration date Mar 26, 2009
Last updated in NPPES Apr 15, 2016

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 075548-1 (NY) Primary

Authorized official

Name Michelle Cavaleri
Title Executive Officer
Phone (631) 286-8282

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southshore Counseling Mediation and Licensed Clinical Social Work Serv?
The NPI for Southshore Counseling Mediation and Licensed Clinical Social Work Serv is 1366684078, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southshore Counseling Mediation and Licensed Clinical Social Work Serv?
NPPES lists Michelle Cavaleri (Executive Officer) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-15.