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

Organization Clinical Social Worker · NPI 1669951596

Omni Psychotherapy, LCSW, PC is a Clinical Social Worker in White Plains, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
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

180 S Broadway Ste 405
White Plains, NY 10605-1820
Phone: (917) 805-0044
Fax: (718) 684-4896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 180 S Broadway Ste 409, White Plains, NY 10605-1820 — (917) 805-0044

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R978093 (NY)

Record details

NPI number1669951596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ivan Diller — President · (917) 805-0044
NPI enumeratedAugust 10, 2018
Last updated in NPPESJuly 11, 2019
Mailing address180 S Broadway Ste 405, White Plains, NY 10605-1820

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