Organization · Type 2 NPI
Fulton Street Psychotherapy LCSW PLLC
Clinical Social Worker · New York, NY
Practice location
139 Fulton St Rm 518
New York, NY 10038-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1679484752
Fulton Street Psychotherapy LCSW PLLC's National Provider Identifier is 1679484752, issued on Sep 16, 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 Sep 16, 2026.