Organization Active NPI

Northeast Therapy Associates, LCSW, PLLC

  • Clinical Social Worker
  • Plattsburgh, NY
National Provider Identifier
1104709906
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NORTHEAST THERAPY ASSOCIATES, LCSW, PLLC
Practice address
22 US Oval Ste 123
Plattsburgh, NY 12903-5901
Phone
(518) 645-1991
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Bobbi J Terry, LCSW-RNPI 1831278100
Title
Clinical Social Worker
Phone
(518) 645-1991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

22 US Oval Ste 123
Plattsburgh, NY 12903-5901

Mailing address

22 US Oval Ste 123
Plattsburgh, NY 12903-5901
Phone (518) 645-1991

National Provider Directory

National Provider Directory

Locations

22 US Oval
Ste 123
Plattsburgh, NY 12903
Phone (518) 578-3380

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1104709906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 123",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035901",
            "telephone_number": "518-645-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 123",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035901",
            "telephone_number": "518-645-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST THERAPY ASSOCIATES, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "518-645-1991",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.