Organization · Type 2 NPI

Lumina Community Psychotherapy, LCSW PLLC

Clinical Social Worker · Elmhurst, NY

NPI number 1891611059 Active

Practice location

9035 52nd Ave Apt 3
Elmhurst, NY 11373-4034

Mailing address

418 Broadway # 6572
Albany, NY 12207-2922

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 1891611059

Lumina Community Psychotherapy, LCSW PLLC's National Provider Identifier is 1891611059, issued on Jun 24, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmhurst, NY. The record was last updated on Jun 24, 2026.