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

Individual provider Clinical Social Worker · NPI 1457606907

Fanny Estela Tristan, LCSW is a Clinical Social Worker in New York, New York. Licensed in New York. Registered with an NPI since 2012.

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

2090 Adam Clayton Powell Jr Blvd 7th Fl
New York, NY 10027-4990
Phone: (917) 485-7280
Fax: (718) 772-0289
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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 083328 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 080901 (NY)

Record details

NPI number1457606907
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 20, 2012
Last updated in NPPESNovember 7, 2016

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