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MR. KENNETH ROBERT SERGIACOMI L.M.S.W. NPI 1336355395


NPI Information

NPI: 1336355395
Provider Name: MR. KENNETH ROBERT SERGIACOMI, L.M.S.W.
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
1050 HALLOCK AVE
SUITE 4
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 384-0624
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MR. Kenneth Robert Sergiacomi, L.M.S.W. is a social worker in Port Jefferson Station, NY. The provider is 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. MR. Kenneth Robert Sergiacomi, L.M.S.W. NPI is 1336355395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1050 HALLOCK AVE
SUITE 4
PORT JEFFERSON STATION, NY
ZIP 11776-214
Phone: (631) 384-0624

The enumeration date for this NPI number is 5/15/2007 and was last updated on 10/17/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor0735881-1NEW YORKNo
2104100000XSocial Worker0735881-1NEW YORKYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.