Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184201634 Individual Practitioner Male Practitioner

Kenneth C Gaughran , LMSW

Social Worker - Clinical • Patchogue, NY

Professional Overview & Biography Verified Profile Summary

Kenneth Gaughran, LMSW is a registered healthcare professional specializing in Social Worker - Clinical in Patchogue, NY. Practice services are available at 475 E MAIN ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

475 E Main St Ste 100

Patchogue, NY 117723121

Telephone 6312868282
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.8 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
60 Specialists

Practicing in Patchogue, NY (30575 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-29
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License NY 111646-01

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Robert Basedow

Social Worker

NPI 1023907987
Michelle Cavaleri , LCSW

Social Worker - Clinical

NPI 1295885051

Licensed Clinical Social Worker

Katelynn Damico , LCSW

Social Worker - Clinical

NPI 1316347651

Licensed Clinical Social Worker

Stacy Gordon

Social Worker

NPI 1568839785
Paul Mcguinness

Social Worker - Clinical

NPI 1619705548
NPI 1710215066

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2021

Registered at 475 E MAIN ST STE 100, PATCHOGUE, NY 117723121 (Tel: 6312868282)

📍
Updated Business Mailing Address March 29, 2021

Registered at 475 E MAIN ST STE 100, PATCHOGUE, NY 117723121 (Tel: 6316516661)

👤
Provider Name / Credentials Updated March 29, 2021

Recorded as KENNETH GAUGHRAN, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2021

Social Worker (License #111646-01 in NY)

🟢
Initial NPI Registration & Enumeration March 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184201634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2021
Last Update: March 29, 2021
Sole Proprietor: No

Mailing Address

475 E Main St Ste 100

Patchogue, NY 117723121

Phone: 6316516661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.