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

Brian M Lissak, LCSW

Individual provider Clinical Social Worker · NPI 1497608368

Brian M Lissak, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1619 3rd Ave Ste 202
New York, NY 10128-3459
Phone: (203) 994-5970
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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 · Licence 102247 (NY)

Record details

NPI number1497608368
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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