Systemic Psychotherapy Lcsw, Pllc

LBN: Systemic Psychotherapy Lcsw, Pllc
Systemic Psychotherapy Lcsw, Pllc is an health care organization with primary practice located at 420 Westchester Ave # 2B , Port Chester NY 10573-3600. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Systemic Psychotherapy Lcsw, Pllc can be contacted via phone (203) 970-4738, or through Ott, Andrea via phone (203) 970-4738.

Contact Information

Primary practice address
420 Westchester Ave # 2B Port Chester NY 10573-3600
Phone: (203) 970-4738
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ott, Andrea Licensed Clinical Social Worker (LCSW)
Phone: (203) 970-4738

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1710605167
LBN Legal business name Systemic Psychotherapy Lcsw, Pllc
DBA Doing business as
Authorized official Ott, Andrea Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 19th, 2022
Last updated Aug 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710605167 NPPES
New York MEDICAID 06296166

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