Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SETAUKET LICENSED CLINICAL SOCIAL WORK CONSULTATION SERVICES PLLC
Active
Organization
SETAUKET LICENSED CLINICAL SOCIAL WORK CONSULTATION SERVICES PLLC
Active
Other names
SETAUKET CONSULTATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BOTTICELLI LCSW-R (DIRECTOR)
(631) 689-1728
Entity
Organization
Contact information
Practice address
100 S JERSEY AVE, UNIT 42, EAST SETAUKET, NY 11733-2034
(631) 689-1728
Mailing address
100 S JERSEY AVE, UNIT 42, EAST SETAUKET, NY 11733-2034
(631) 689-1728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0276581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501512
VALUE OPTIONS
NY
01
—
7336094
GHI
NY
Enumeration date
01/29/2008
Last updated
05/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up