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

Individual provider Clinical Social Worker · NPI 1508113861

Eitan Lidergot, LCSW is a Clinical Social Worker in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

26 Court St Ste 1306
Brooklyn, NY 11242-0103
Phone: (347) 560-0623
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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 · Licence 084011 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 086705 (NY)

Record details

NPI number1508113861
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 6, 2012
Last updated in NPPESSeptember 3, 2016

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