Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Columbus Park Behavioral Health, LCSW, LLC

Organization Clinical Social Worker · NPI 1104118876

Columbus Park Behavioral Health, LCSW, LLC provides Clinical Social Worker services in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Columbus Cir Fl 15
New York, NY 10019-8716
Phone: (646) 414-1446
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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 077255 (NY)

Record details

NPI number1104118876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Gerson — Clinical Director · (646) 245-2021
NPI enumeratedMay 12, 2011
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address3 Columbus Cir Fl 15, New York, NY 10019-8716

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