Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fanny Tristan, LCSW, PLLC

Organization Clinical Social Worker · NPI 1578360640

Fanny Tristan, LCSW, PLLC provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1115 Broadway Fl 12
New York, NY 10010-3452
Phone: (347) 836-9705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1578360640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fanny Tristan — Founder/Ceo · (347) 836-9705
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address1115 Broadway Fl 12, New York, NY 10010-3452

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