MEDICARE: LB COUNSELING, LCSW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1285581488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LB COUNSELING, LCSW, PLLC

Provider Business Mailing Address
First Line	:	3058 SHORE DR
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-5205
Country	:	US
Telephone Number	:	516-426-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 BROADWAY STE 203
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-5204
Country	:	US
Telephone Number	:	516-426-5222
Fax Number	:

Authorized Official
Title or Position	:	LCSW/OWNER
Name	:	MRS. LAUREN MAIETTA
Credential	:	LCSW
Telephone Number	:	516-426-5222

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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