The Loom Wellness LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE LOOM WELLNESS LCSW PLLC

Practice address

41 Union SQ W Ste 1328
New York, NY 10003-3252

Phone

(646) 470-7109

Fax

(917) 970-8181

NPI assigned

Sep 1, 2023

Last updated

Feb 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Doria Miller, LCSWNPI 1063870731

Title

Founder & Psychotherapist

Phone

(646) 470-7109

Specialties & licenses 1

Addresses

Other names 1

• Doria Miller LCSW PLLC Former legal business name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Doria Miller, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1063870731
  NPD Authorized official
• Rebeca Grijalva

  • Mental Health Counselor
  • New York, NY
  • NPI 1780467464
  NPD (past)
• Rachel M Moses, MA, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1285308056
  NPD (past)
• Sarah Panzer, LCSW

  • Social Worker
  • New York, NY
  • NPI 1417689282
  NPD (past)

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1255117628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W STE 1328",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033252",
            "telephone_number": "646-470-7109",
            "fax_number": "917-970-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W STE 1328",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033252",
            "telephone_number": "646-470-7109",
            "fax_number": "917-970-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E 16th St Rm 502B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033111",
            "country_code": "US",
            "telephone_number": "646-470-7109",
            "fax_number": "917-970-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LOOM WELLNESS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2024-02-20",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DORIA",
        "authorized_official_title_or_position": "FOUNDER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "646-470-7109",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doria Miller LCSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.