Active NPI
Lincoln Square Psychotherapy LCSW PLLC
- Clinical Social Worker
- New York, NY
National Provider Identifier
1790307239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LINCOLN SQUARE PSYCHOTHERAPY LCSW PLLC
- Practice address
- 330 W 58TH St Ste 304
New York, NY 10019-1801 - Phone
- (212) 933-4792
- NPI assigned
- May 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery Patterson, LCSW
- Title
- Owner
- Phone
- (917) 941-6273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
330 W 58TH St Ste 304
New York, NY 10019-1801
Mailing address
330 W 58TH St Ste 304
New York, NY 10019-1801
Phone (212) 933-4792
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- New York, NY
- NPI 1194293274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1790307239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 58TH ST STE 304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191801",
"telephone_number": "212-933-4792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 58TH ST STE 304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191801",
"telephone_number": "212-933-4792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN SQUARE PSYCHOTHERAPY LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-07",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-941-6273",
"authorized_official_credential": "LCSW"
},
"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 New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.