Individual provider · Type 1 NPI

Juliette Rose Lackow, LCSW

Clinical Social Worker · New York, NY

NPI number 1780360867 Active

Practice location

447 Broadway
New York, NY 10013-2562

Call (646) 731-9828 Map

Mailing address

14 25th Ave Apt B
Venice, CA 90291-6309

Other practice locations

  • 171 Madison Ave Rm 1005, New York, NY 10016-5110 · (646) 731-9828
  • 352 7th Ave Rm 801, New York, NY 10001-5655 · (646) 418-1172

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X120018 (NY)
Clinical Social Worker Primary 1041C0700X104208 (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 1780360867

Juliette Rose Lackow, LCSW's National Provider Identifier is 1780360867, issued on Jun 23, 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 Oct 28, 2026.