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

Ivy Firouztale

Individual provider Clinical Social Worker · NPI 1144620089

Ivy Firouztale is a Clinical Social Worker in Dix Hills, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

2 Pudding Ln
Dix Hills, NY 11746-6118
Phone: (631) 432-8424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 078295-1 (NY)

Record details

NPI number1144620089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESMay 3, 2021
Certification dateMay 3, 2021

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