Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas Stephen Koufacos, LCSW, ACHP-SW

Individual provider Social Worker · NPI 1154684967

Mr. Nicholas Stephen Koufacos, LCSW, ACHP-SW is a Social Worker in Bronx, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
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

130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone: (718) 584-9000
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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 084850 (NY)
Social Worker Taxonomy 104100000X · Licence 085943-1 (NY)

Record details

NPI number1154684967
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , ACHP-SW
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESJanuary 7, 2019

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