Individual provider · Type 1 NPI

Nicole Lieberman

Clinical Social Worker · Woodside, NY

NPI number 1568093516 Active

Practice location

4277 65th Pl
Woodside, NY 11377-5054

Mailing address

205 E 85th St Apt 5Q
New York, NY 10028-3222

Other practice locations

  • 3635 Bell Blvd Ste 203, Bayside, NY 11361-2097 · (718) 504-9256

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X108965 (NY)
Clinical Social Worker Primary 1041C0700X101876 (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 1568093516

Nicole Lieberman's National Provider Identifier is 1568093516, issued on Jan 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodside, NY. The record was last updated on Feb 10, 2026.