The Initiative for Psychotherapy, LCSW, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE INITIATIVE FOR PSYCHOTHERAPY, LCSW, PC

Practice address

307 7TH Ave RM 1707
New York, NY 10001-6041

Phone

(917) 830-4150

NPI assigned

Mar 13, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Mondoro, MSW, LCSWNPI 1366777096

Title

Founding Director

Phone

(917) 830-4150

Specialties & licenses 1

Addresses

Other names 1

• Michael Mondoro, LCSW, PC Former legal business name

Practitioners 1

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

• Michael J Mondoro, LMSW

  • Social Worker
  • Brooklyn, NY
  • NPI 1366777096
  NPD Authorized official

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1801471685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GRUMMAN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512416",
            "telephone_number": "917-830-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 7TH AVE RM 1707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016041",
            "telephone_number": "917-830-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Grumman Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068512416",
            "country_code": "US",
            "telephone_number": "917-830-4150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE INITIATIVE FOR PSYCHOTHERAPY, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "MONDORO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDING DIRECTOR",
        "authorized_official_telephone_number": "917-830-4150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Mondoro, LCSW, PC",
            "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 Nov 15, 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.