UNLEASHED POTENTIAL PSYCHOTHERAPY LCSW PLLC NPI 1699679688

NPI Details

UNLEASHED POTENTIAL PSYCHOTHERAPY LCSW PLLC is a clinical social worker in Commack, 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. UNLEASHED POTENTIAL PSYCHOTHERAPY LCSW PLLC NPI is 1699679688. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3 MELWOOD DR
COMMACK, NY
ZIP 11725-610
Phone: (631) 432-8897

The provider's authorized official is Jessica Ann Rebelo .
The authorized official title is President and has the following contact phone number (631) 432-8897.

The enumeration date for this NPI number is 10/5/2026 and was last updated on 10/5/2026.

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: