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

Clinical, Consultation and Supervision Services LCSW PLLC

Organization Clinical Social Worker · NPI 1629329438

Clinical, Consultation and Supervision Services LCSW PLLC is a Clinical Social Worker in Bronx, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

3510 Bainbridge Ave Apt S1
Bronx, NY 10467-1419
Phone: (917) 653-8972
Fax: (888) 812-4062
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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 R063179 (NY)

Record details

NPI number1629329438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominique Nerestan — Clinical Social Worker · (917) 653-8972
NPI enumeratedSeptember 20, 2012
Last updated in NPPESJanuary 8, 2013
Mailing address319 Tonetta Lake Rd, Brewster, NY 10509-4134

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