Kenneth C. Gaughran, LMSW

Clinical Social Worker · Patchogue, NY

Individual Active NPI

NPI number 1184201634

Practice location

475 E Main St Ste 100
Patchogue, NY 11772-3121
Phone
(631) 286-8282

Open in Google Maps

NPI record

NPI
1184201634
Entity type
Individual (Type 1)
Enumeration date
March 29, 2021
Last updated
March 29, 2021
Certified
March 29, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 111646-01 NY

About Kenneth Gaughran

Kenneth C. Gaughran, LMSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 475 E Main St Ste 100, Patchogue, NY 11772-3121. The NPI number 1184201634 was assigned on March 29, 2021 and the record was last updated on March 29, 2021.

Kenneth Gaughran lists a license in the registry: #111646-01 (NY) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth C. Gaughran, LMSW?

The NPI number is 1184201634.

What is the phone number of Kenneth Gaughran?

The phone number listed for the practice location is (631) 286-8282.

Where is Kenneth Gaughran located?

475 E Main St Ste 100, Patchogue, NY 11772-3121.

What is the taxonomy code for Kenneth Gaughran?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Clinical Social Worker providers in Patchogue

All Clinical Social Worker providers in Patchogue, NY →