Lighthouse Integrative Counseling Services Lcsw Marriage and Family Th
NPI 1699135566ActiveOrganization· Social Worker, Clinical· Port Jefferson, NY
Social Worker, Clinical in Port Jefferson, New York, registered in NPPES in March 2016. The authorized official on file is Michelle D. Conelli, LCSW, LMFT, Founder/Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699135566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2016 |
| Last updated in NPPES | Mar 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 073603 | NY |
| Marriage & Family Therapist | 106H00000X | 000230 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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