BUTTERFLY LCSW PC NPI 1023349297

NPI Information

  • NPI: 1023349297
  • Provider Name: BUTTERFLY LCSW PC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: JEAN BACON
  • Address: 83 E MAIN ST
    BAY SHORE, NY
    ZIP 11706
  • Phone: (631) 666-5067

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NPI Details

BUTTERFLY LCSW PC is a clinical social worker in Bay Shore, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BUTTERFLY LCSW PC NPI is 1023349297. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jean Bacon.

The provider's business location address is:

83 E MAIN ST
BAY SHORE, NY
ZIP 11706-305
Phone: (631) 666-5067
Fax: (631) 593-5472

The provider's authorized official is Jean Bacon .
The authorized official title is Clinical Director and has the following contact phone number (631) 666-5067.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 4/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker076163NEW YORKNo
2104100000XSocial Worker079274NEW YORKNo
3104100000XSocial Worker077806NEW YORKNo
4104100000XSocial Worker070271NEW YORKNo
5104100000XSocial Worker077805NEW YORKNo
6104100000XSocial Worker074277NEW YORKNo
7104100000XSocial Worker079551NEW YORKNo
8104100000XSocial Worker075977NEW YORKNo
9104100000XSocial Worker070508NEW YORKNo
10104100000XSocial Worker073889NEW YORKNo
11104100000XSocial Worker076780NEW YORKNo
12104100000XSocial Worker074014NEW YORKNo
131041C0700XSocial WorkerClinical04056NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A100024503OTHERNEW YORKMEDICARE GROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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