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

Organization Clinical Social Worker · NPI 1619479961

Prism Psychotherapy LCSW PC is a Clinical Social Worker in Warwick, New York. Works from 2 locations. Registered with an NPI since 2018.

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

56 Main St Ste 3-5
Warwick, NY 10990-1345
Phone: (845) 656-2606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25 Forester Ave, Warwick, NY 10990-1128 — (845) 656-2606

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1619479961
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Pacos — Owner · (845) 656-2606
NPI enumeratedMarch 2, 2018
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing addressPo Box 1196, Warwick, NY 10990-8196

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