Organization · Type 2 NPI
Intentional Life Therapy LCSW PLLC
Clinical Social Worker · New York, NY
Practice location
575 Lexington Ave Fl 14
New York, NY 10022-6129
Fax (929) 290-0328
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 1700794575
Intentional Life Therapy LCSW PLLC's National Provider Identifier is 1700794575, issued on Aug 31, 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 Aug 31, 2026.