Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edward S Wallach, LCSW, PHD

Individual provider Clinical Social Worker · NPI 1003238205

Mr. Edward S Wallach, LCSW, PHD is a Clinical Social Worker in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

673 Stewart Ave
Staten Island, NY 10314
Phone: (718) 698-1795
Fax: (718) 698-9357
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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 R027293 (NY)

Record details

NPI number1003238205
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , PHD
Sole proprietorYes
NPI enumeratedJanuary 8, 2014
Last updated in NPPESJanuary 8, 2014

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