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Organization
SOUTH SHORE COUNSELING SERVICES OF CERTIFIED SOCIAL WORKERS, PLLC
Active
Organization
SOUTH SHORE COUNSELING SERVICES OF CERTIFIED SOCIAL WORKERS, PLLC
Active
Other names
South Shore Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
PETER THOMAS VIGLIOTTA LCSW (OWNER/SOCIAL WORK THERAPIST)
(631) 665-6244
Entity
Organization
Contact information
Practice address
144 4TH AVENUE, BAY SHORE, NY 11706-7962
(631) 665-6244
(631) 968-6169
Mailing address
144 4TH AVENUE, BAY SHORE, NY 11706-7962
(631) 665-6244
(631) 968-6169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R040607-1
NY
1041C0700X
Clinical Social Worker
R043922-1
NY
1041C0700X
Clinical Social Worker
R046965-1
NY
1041C0700X
Clinical Social Worker
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02218862
—
NY
05
—
02246913
—
NY
05
—
02247547
—
NY
05
—
02681721
—
NY
Enumeration date
09/08/2005
Last updated
07/13/2015
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