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Mr. Kenneth Robert Sergiacomi, LMSW
Counselor in Port Jefferson Station, New York
NPI 1336355395

Kenneth Robert Sergiacomi is a Counselor based in Port Jefferson Station, NY. Kenneth Robert Sergiacomi practices in Port Jefferson Station, NY and has the professional credentials of LMSW. The NPI Number for Kenneth Robert Sergiacomi is 1336355395 and holds a License No. 0735881-1 (New York).

The current practice location address for Kenneth Robert Sergiacomi is 1050 Hallock Ave, Port Jefferson Station, NY and can be reached out via phone at 631-384-0624.

Location: 1050 Hallock Ave, Port Jefferson Station, NY, 11776-1214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336355395
Provider Name
Kenneth Robert Sergiacomi
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
1050 Hallock Ave, Port Jefferson Station, NY, 11776-1214
Phone Number
631-384-0624
Fax Number
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1050 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1214
Phone Number
631-384-0624
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1214
Phone Number
631-384-0624
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
0735881-1 (New York)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
0735881-1 (New York)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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