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

Individual provider Clinical Social Worker · NPI 1629408976

Ivelisse Concepcion, LCSW is a Clinical Social Worker in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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

4123 3rd Ave
Bronx, NY 10457-6222
Phone: (718) 299-3045
Fax: (718) 716-2605
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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 084156 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 088515 (NY)

Record details

NPI number1629408976
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 23, 2013
Last updated in NPPESJanuary 11, 2017

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