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Impact Lcsw Counseling Services, PC

Clinical Social Worker in Lake Grove, NY · enumerated 2006 · authorized official Carol Brunjes, Ceo/Clinical Director.

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

National Provider Identifier

1972522902

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Lcsw Counseling Services, PC
Other name <Unavail>
Practice address 2760 Middle Country Rd, Suite 1, Lake Grove, NY, 11755
Fax (631) 467-3185
Enumeration date Jul 19, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License R043837-1 (NY) Primary

Authorized official

Name Carol Brunjes
Title Ceo/Clinical Director

Other identifiers

Identifier Type State Issuer
11569751 Other NY CAQH
02756912 Medicaid NY -

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

Where is Impact Lcsw Counseling Services, PC located?
The practice location on file with NPPES is in Lake Grove, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.