Diane A Gariepy Lcsw Pc

Clinical Social Worker · Port Jefferson Station, NY

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At a glance

460 Old Town Road, Port Jefferson Station, NY 11776

NPPES record updated Apr 3, 2015. Public records can lag behind changes at a practice.

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Practice location

460 Old Town Road 21-G
Port Jefferson Station, NY 11776

Professional details: NPI, taxonomy & registry record

NPI1730574088

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Apr 3, 2015
Record updated: Apr 3, 2015

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

460 Old Town Road
21-G
Port Jefferson Station, NY 11776

Phone: (631) 642-7474

Mailing address

646 MAIN ST
2ND FLOOR
PORT JEFFERSON, NY 117772235

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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