Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Annalissa G. Vicencio, MA, LCAT, MT-BC

Individual provider Music Therapist · NPI 1649898453

Annalissa G. Vicencio, MA, LCAT, MT-BC is a Music Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

205 W 15th St Apt 2E
New York, NY 10011-6414
Phone: (914) 481-2283
Fax: (888) 651-4682
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Specialties & licences

Music Therapist (primary) Taxonomy 225A00000X · Licence 002111 (NY)
Music Therapist Taxonomy 225A00000X · Licence 12125

Record details

NPI number1649898453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCAT , MT-BC
Sole proprietorYes
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020

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