Individual provider · Type 1 NPI

Jacqueline Patrice Lord, LMSW

Clinical Social Worker · New York, NY

NPI number 1114633732 Active

Practice location

175 W 72nd St
New York, NY 10023-3203

Mailing address

159 Newell St Apt 4L
Brooklyn, NY 11222-3019

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X117300 (NY)
Mental Health Counselor 101YM0800XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1114633732

Jacqueline Patrice Lord, LMSW's National Provider Identifier is 1114633732, issued on Jan 26, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Sep 28, 2026.