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

Light Line Therapy LCSW, PLLC

Organization Clinical Social Worker · NPI 1992644223

Light Line Therapy LCSW, PLLC provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2026.

In the registry since
2026
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

276 5th Ave Rm 604
New York, NY 10001-4527
Phone: (973) 664-7196
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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

Record details

NPI number1992644223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Mergendoller — Member-Manager · (415) 686-1385
NPI enumeratedMarch 25, 2026
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address276 5th Ave Rm 604, New York, NY 10001-4527

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