Active NPI
Lifecycle Therapeutic Services Limited Liability Company
- Clinical Social Worker
- New York, NY
National Provider Identifier
1811244130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIFECYCLE THERAPEUTIC SERVICES LIMITED LIABILITY COMPANY
- Practice address
- 75 Maiden LN
Suite 228
New York, NY 10038-4810 - Phone
- (212) 405-2257
- NPI assigned
- Aug 6, 2012
- 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
- Mrs. Amanda Berman Levy, LCSW
- Title
- Psychotherapist
- Phone
- (917) 902-2726
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
75 Maiden LN
Suite 228
New York, NY 10038-4810
Mailing address
349 Franklin Ave
Suite 201
Nutley, NJ 07110-4004
Phone (973) 517-4062
National Provider Directory
National Provider Directory- Tax ID family
- Lifecycle Therapeutic Services Limited Liability Company
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Nutley, NJ
- NPI 1700132933
Locations
75 Maiden Ln
Ste 228
New York, NY 10038
Phone (212) 405-2257
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344211200000",
"number": "1811244130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 FRANKLIN AVE",
"address_2": "SUITE 201",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071104004",
"telephone_number": "973-517-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MAIDEN LN",
"address_2": "SUITE 228",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384810",
"telephone_number": "212-405-2257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECYCLE THERAPEUTIC SERVICES LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "BERMAN",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "917-902-2726",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-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 Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.