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

Individual provider Clinical Social Worker · NPI 1972989101

Jennifer Soohoo-Tibaldi is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

462 1st Ave Rm 21S38
New York, NY 10016-9196 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 562-6035
Fax: (212) 263-0202
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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 069373 (NY)

Record details

NPI number1972989101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2015
Last updated in NPPESAugust 11, 2015

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