Organization · Type 2 NPI
The Dorm Lcsw, PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · New York, NY
NPI number
1962018713
Active
Practice location
175 W 72nd St Frnt 2
New York, NY 10023-3203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1962018713
The Dorm Lcsw, PLLC's National Provider Identifier is 1962018713, issued on Sep 17, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in New York, NY. The record was last updated on Oct 8, 2026.