Provider Demographics
NPI:1487859138
Name:REFLECTIONS PSYCHOTHERAPY AND COUNSELING, JOANN MOST, LCSW, P.C.
Entity Type:Organization
Organization Name:REFLECTIONS PSYCHOTHERAPY AND COUNSELING, JOANN MOST, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:NANCY
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-724-9462
Mailing Address - Street 1:15 BELLEMEADE AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1870
Mailing Address - Country:US
Mailing Address - Phone:631-724-9462
Mailing Address - Fax:631-724-1332
Practice Address - Street 1:15 BELLEMEADE AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1870
Practice Address - Country:US
Practice Address - Phone:631-724-9462
Practice Address - Fax:631-724-1332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040833-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN3W641Medicare ID - Type UnspecifiedPSYCHOTHERAPY GROUP