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

Psychotherapy LCSW PC

Organization Clinical Social Worker · NPI 1063992345

Psychotherapy LCSW PC is a Clinical Social Worker in Queens Village, New York. 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

9029 218th Pl
Queens Village, NY 11428-1336
Phone: (347) 682-7023
Fax: (718) 454-5027
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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 number1063992345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adalgiza Sandoval — Owner · (347) 680-7023
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 16, 2018
Mailing address9029 218th Pl, Queens Village, NY 11428-1336

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