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

Lived Experience Therapists, LCSW PLLC

Organization Clinical Social Worker · NPI 1902763915

Lived Experience Therapists, LCSW PLLC is a Clinical Social Worker in Queens Village, 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

9711 Springfield Blvd
Queens Village, NY 11429-1328
Phone: (718) 749-2596
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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 number1902763915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Williams — Co-Owner · (718) 749-2596
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address97-11 Springfield Blvd, Queens Village, NY 11429

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