Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Intentional Life Therapy LCSW PLLC

Organization Clinical Social Worker · NPI 1700794575

Intentional Life Therapy LCSW PLLC provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2026.

In the registry since
2026
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

575 Lexington Ave Fl 14
New York, NY 10022-6129
Phone: (646) 776-2197
Fax: (929) 290-0328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1700794575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Reyes — Owner · (646) 474-6206
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026
Mailing address575 Lexington Ave Fl 14, New York, NY 10022-6129

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