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

MS. Nazanin Adriana Kavoussi, LCSW, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306186044

MS. Nazanin Adriana Kavoussi, LCSW, CASAC is a Clinical Social Worker in New York, New York. Graduated from Fordham University School of Medicine in 2012, 14 years ago. Practices with Brave Medical PC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
14
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2013
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

119 W 124th St
New York, NY 10027-4920
Phone: (917) 386-1798
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 084192 (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 28134 (NY)

Record details

NPI number1306186044
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CASAC
Sole proprietorYes
NPI enumeratedFebruary 16, 2013
Last updated in NPPESSeptember 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Brave Medical Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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