| West Side Psychotherapy Lcsw Pllc | |
| 
					130 Hope St Apt 605 Brooklyn NY 11211-6081  | |
| (203) 515-2087 | |
| (917) 720-9791 | 
| Full Name | West Side Psychotherapy Lcsw Pllc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 130 Hope St Apt 605, Brooklyn, New York | 
| Authorized Official Name and Position | Kate Ellen Lamborn (PRESIDENT) | 
| Authorized Official Contact | 2035152087 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| West Side Psychotherapy Lcsw Pllc Po Box 231271 New York NY 10023-9998 Ph: (347) 746-5283  | West Side Psychotherapy Lcsw Pllc 130 Hope St Apt 605 Brooklyn NY 11211-6081 Ph: (203) 515-2087  | 
| NPI Number | 1083320733 | 
|---|---|
| Provider Enumeration Date | 01/26/2023 | 
| Last Update Date | 01/12/2024 | 
| Certification Date | 01/12/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083320733 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
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