MR. GUY ANTHONY KOUTOUVIDIS (NPI# 1609941814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609941814 |
| Entity Type | Individual |
| Full Name | MR. GUY ANTHONY KOUTOUVIDIS |
| Credential | MSW, LCSW |
| Practice Address |
14 E Broadway Suite 2 Port Jefferson NY 11777-1400 |
| Mailing Address |
4 Olivia Dr Port Jefferson Station NY 11776-4470 |
| Practice Telephone | 6316429525 |
| Practice Fax Number | 6316429525 |
| Mailing Telephone | 6314742162 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R052825-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
14 E BROADWAY SUITE 2 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144203340 | Paula Ann Lieberman | Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | 2005-11-22 |
| 1558444919 | Dorothy Marie Lilly | Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | 2006-10-21 |
| 1669456091 | Sharon Lyn Zariello | Counselor | 14 E Broadway, Port Jefferson, NY 11777-1400 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225518590 | Rosemarie Angeline Hofmann | Social Worker | 1000 Main St Ste 3, Port Jefferson, NY 11777-2250 | 2018-08-16 |
| 1336426865 | Tara Lynn Sottile | Social Worker | 100 Highlands Blvd, Port Jefferson, NY 11777-2320 | 2011-11-11 |
| 1730311218 | Lynne A Kulakowski | Social Worker | 406 Liberty Ave, Port Jefferson, NY 11777-2064 | 2009-08-17 |
| 1588800288 | Natalie Litman | Social Worker | 3 Deerfield Ct, Port Jefferson, NY 11777-1967 | 2008-12-30 |
| 1710142559 | Ann Marie Csorny | Social Worker | 35 Sea Court Ln, Port Jefferson, NY 11777-2176 | 2008-07-22 |
| 1700087434 | Jacqueline Lucille Renda | Social Worker | 210 Emerson St, Port Jefferson, NY 11777-1605 | 2007-05-30 |
| 1144436544 | Jacqueline A Major | Social Worker | 402 Owasco Dr, Port Jefferson, NY 11777-1640 | 2007-05-15 |
| 1245452820 | Loretta C Murolo | Social Worker | 14 East Broadway, Port Jefferson, NY 11777 | 2007-05-03 |
| 1649390725 | Vivian Abano Bollmann | Social Worker | 1 High Street, Hope House Ministries, Port Jefferson, NY 11777 | 2007-03-30 |
| 1053449371 | Susan H. Berg | Social Worker | 105 Whittier Pl, Port Jefferson, NY 11777-1619 | 2007-02-28 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on MR. GUY ANTHONY KOUTOUVIDIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.