Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Affective LCSW Services PLLC

Organization Social Worker · NPI 1205257417

Affective LCSW Services PLLC is a Social Worker in Staten Island, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

97 Bush Ave
Staten Island, NY 10303-2215
Phone: (347) 788-3775
Fax: (718) 420-1032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 075416 (NY)
Social Worker Taxonomy 104100000X · Licence 083062 (NY)
Social Worker Taxonomy 104100000X · Licence 087435 (NY)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1205257417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Delsa Fauconier — President/Ceo · (347) 788-3775
Other names Affective Lcsw Services
NPI enumeratedDecember 16, 2013
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address97 Bush Ave, Staten Island, NY 10303-2215

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