Individual provider · Type 1 NPI
Brian M. Lissak, LCSW
Clinical Social Worker · New York, NY
Practice location
1619 3rd Ave Ste 202
New York, NY 10128-3459
Mailing address
298 Audubon Rd
Englewood, NJ 07631-4311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 102247 (NY) |
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 1497608368
Brian M. Lissak, LCSW's National Provider Identifier is 1497608368, issued on Feb 19, 2026. 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 Feb 19, 2026.