Organization · Type 2 NPI

Lifestyle Reconstruction Weight Control Center

Clinical Social Worker · New City, NY

NPI number 1861128787 Active

Practice location

125 S Main St
New City, NY 10956-3501

Fax (845) 639-1959

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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 1861128787

Lifestyle Reconstruction Weight Control Center's National Provider Identifier is 1861128787, issued on Jul 25, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New City, NY. The record was last updated on Feb 13, 2026.