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

Family Practice LCSW PC

Organization Clinical Social Worker · NPI 1558503375

Family Practice LCSW PC is a Clinical Social Worker in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

65 Weed Ave
Staten Island, NY 10306-4922
Phone: (917) 992-1647
Fax: (347) 492-4514
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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 076320 (NY)

Record details

NPI number1558503375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elina Malamud — Owner · (917) 992-1647
NPI enumeratedMarch 25, 2009
Last updated in NPPESMarch 22, 2010
Mailing address65 Weed Ave, Staten Island, NY 10306-4922

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