Healthcare Provider Details

I. General information

NPI: 1811060437
Provider Name (Legal Business Name): DEBORAH A SEXTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 SMITHTOWN BYP STE 206
SMITHTOWN NY
11787-5020
US

IV. Provider business mailing address

732 SMITHTOWN BYP STE 206
SMITHTOWN NY
11787-5020
US

V. Phone/Fax

Practice location:
  • Phone: 631-366-5113
  • Fax: 631-265-3205
Mailing address:
  • Phone: 631-864-5113
  • Fax: 631-824-9137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0390861
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: