Kenneth C Gaughran, LMSW
Social Worker, Clinical in Patchogue, NY. Individual provider (NPI-1).
NPI number1184201634
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1184201634
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth C Gaughran
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2021
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 111646-01 | NY | Yes |
Practice location
475 E Main St Ste 100Patchogue, NY 11772-3121
Phone 631-286-8282
Mailing address
475 E Main St Ste 100Patchogue, NY 11772-3121
Phone 631-651-6661
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Patchogue, NY
- Katelynn Andriano, LCSWNPI 1326571365
- Ramin Azarm, LCSWNPI 1932577301
- James Walter Banks, LCSWNPI 1093936965
- Kathleen Barry, LCSWNPI 1013887884
- Paula S Baumer, LMSWNPI 1699815308
- Michael T. Block, LCSWNPI 1700917366
- Heather B BrombergNPI 1952206930
- Linda Marie Bruno, LCSWNPI 1225600851
- Barbara Chitkara, LCSWNPI 1326091307
- Coaching For LifeNPI 1508264086
All 69 Clinical Social Worker providers in Patchogue · All 1,282 providers in Patchogue
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.