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

Park Therapy LCSW, PLLC

Organization Clinical Social Worker · NPI 1356163760

Park Therapy LCSW, PLLC provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
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

137 W 24th St Ste 300
New York, NY 10011-1901
Phone: (917) 951-7969
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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 number1356163760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maryann Fazio Heimrath — Member-Manager · (917) 951-7969
NPI enumeratedOctober 28, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address137 W 24th St Ste 300, New York, NY 10011-1901

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