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

Lili Tate Itzhaki

Individual provider Clinical Social Worker · NPI 1417518630

Lili Tate Itzhaki is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

752 W End Ave Apt 7C
New York, NY 10025-6232
Phone: (646) 703-2799
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence ACSW89700 (CA)

Record details

NPI number1417518630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 27, 2019
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026

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