Light Street Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIGHT STREET PSYCHOTHERAPY LLC

Practice address

748 Morris Tpke Ste 209
Short Hills, NJ 07078-2617

Phone

(917) 405-3427

NPI assigned

Feb 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Meredith Strauss, LCSWNPI 1871837161

Title

Owner

Phone

(917) 405-3427

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith J Strauss, LSW

  • Social Worker
  • Maplewood, NJ
  • NPI 1871837161
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1013473578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WHITE OAK DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MORRIS TPKE STE 209",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782617",
            "telephone_number": "917-405-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT STREET PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-405-3427",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raana Latif, PA-C
• Tri M Le, PHARM.D.
• David B Leventer, MD
• Jason Todd Levy, DC
• Arthur Roy Liberman, M.D.
• Richie L Lin, MD
• Roxbary Lipa
• Little Champs ABA NJ LLC
• Little Champs ABA NM LLC
• Jennifer Liu

• Clinical Social Worker in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.