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

Jonathan Gottlieb, LCSW

Individual provider Clinical Social Worker · NPI 1265118483

Jonathan Gottlieb, LCSW is a Clinical Social Worker in Woodside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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

4124 50th St Apt 3B
Woodside, NY 11377-4318
Phone: (917) 428-6190
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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 73-085911 (NY)

Record details

NPI number1265118483
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 22, 2023
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023
Mailing address4124 50th St Apt 3b, Woodside, NY 11377-4318

Other providers in Woodside