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

Individual provider Clinical Social Worker · NPI 1265916902

Dr. Jordan Conrad, PHD, LCSW is a Clinical Social Worker in New York, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
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

1123 Broadway
New York, NY 10010-2007
Phone: (929) 352-0449
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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 092469 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 103802-1 (NY)

Record details

NPI number1265916902
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

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