Organization Active NPI

LCSW Therapy Services of Ny PLLC

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1518347236
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080142 Issued in NY
Legal business name
LCSW THERAPY SERVICES OF NY PLLC
Practice address
10505 69TH Ave
Suite 1
Forest Hills, NY 11375-3372
Phone
(845) 489-8818
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Lindsey Elizabeth Smith, LCSW
Title
Managing Member
Phone
(845) 489-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 080142 NY Primary

Addresses

Primary practice location

10505 69TH Ave
Suite 1
Forest Hills, NY 11375-3372

Mailing address

11940 Metropolitan Ave
Apt C3
Kew Gardens, NY 11415-2600
Phone (845) 489-8818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1518347236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 METROPOLITAN AVE",
            "address_2": "APT C3",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152600",
            "telephone_number": "845-489-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 69TH AVE",
            "address_2": "SUITE 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753372",
            "telephone_number": "845-489-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCSW THERAPY SERVICES OF NY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "845-489-8818",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.