Organization Active NPI

Lisa C White, LCSW Psychotherapy Services P.C.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1427609502
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LISA C WHITE, LCSW PSYCHOTHERAPY SERVICES P.C.
Practice address
29 W 36TH St FL 5
New York, NY 10018-7671
Phone
(646) 285-7944
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Lisa White, LCSW-R
Title
President/Ceo
Phone
(646) 285-7944

Specialties & licenses 1

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

Addresses

Primary practice location

29 W 36TH St FL 5
New York, NY 10018-7671

Mailing address

857 E 230TH St
Bronx, NY 10466-4416
Phone (646) 285-7944

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com

National Provider Directory

National Provider Directory

Locations

29 W 36th St
Fl 5
New York, NY 10018
Phone (212) 330-6867

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1427609502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 E 230TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104664416",
            "telephone_number": "646-285-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W 36TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187671",
            "telephone_number": "646-285-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA C WHITE, LCSW PSYCHOTHERAPY SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "646-285-7944",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "29 W 36th St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100187671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.