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Kenneth Sergiacomi, L.M.S.W
NPI 1336355395 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1050 Hallock Ave
Suite 4
Port Jefferson Station, NY 11776 - Phone
- (631) 384-0624
- Organisation at this address
- Catherine Provenzano
Jane Salzano Lcsw P.C.
Well Balanced Massage Inc
Joanne Della Valle Lcsw P.C.
Colleen Jean Kalman Lcsw PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Also registered as
- Counselor
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York