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

Individual provider Clinical Social Worker · NPI 1033621651

Joie Adam Deritis, LCSW is a Clinical Social Worker in New York, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
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

150 Broadway Rm 1708
New York, NY 10038-4390
Phone: (917) 991-8417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 107 W 82nd St Ste 104, New York, NY 10024-5511 — (917) 991-8417

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 090555 (NY)

Record details

NPI number1033621651
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 5, 2017
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

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