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

Park South Psychotherapy, LCSW, LLC

Organization Clinical Social Worker · NPI 1306487376

Park South Psychotherapy, LCSW, LLC provides Clinical Social Worker services in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
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

295 Madison Ave Fl 12
New York, NY 10017-6379
Phone: (212) 292-0960
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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 number1306487376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Gerson — Owner · (646) 245-2021
NPI enumeratedOctober 1, 2019
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022
Mailing address295 Madison Ave Fl 12, New York, NY 10017-6379

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