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New York Licensed Clinical Social Work, PC

Clinical Social Worker in Islip, NY · enumerated 2021 · authorized official Kimberly Mann, Credentialing Manager.

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

National Provider Identifier

1669138699

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Registry record

Entity type Organization (Type 2)
Legal business name New York Licensed Clinical Social Work, PC
Practice address 5 Bertram St, Islip, NY, 11751
Enumeration date Nov 15, 2021
Last updated in NPPES Dec 27, 2021

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Kimberly Mann
Title Credentialing Manager

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

Who is the authorized official for New York Licensed Clinical Social Work, PC?
NPPES lists Kimberly Mann (Credentialing Manager) as the authorized official for this organization.
What is the NPI number for New York Licensed Clinical Social Work, PC?
The NPI for New York Licensed Clinical Social Work, PC is 1669138699, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-27.