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

Staten Island Psychotherapy LCSW PLLC

Organization Clinical Social Worker · NPI 1124844808

Staten Island Psychotherapy LCSW PLLC provides Clinical Social Worker services in Staten Island, 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

3974 Amboy Rd Ste 207
Staten Island, NY 10308-2414
Phone: (718) 344-7272
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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 number1124844808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Tully — Member · (718) 344-7272
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing address3974 Amboy Rd Ste 207, Staten Island, NY 10308-2414

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