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

Samuel Emerson Carlisle, LCSW

Individual provider Social Worker · NPI 1548542483

Samuel Emerson Carlisle, LCSW is a Social Worker in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
3
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

4530 Broadway 4E
New York, NY 10040
Phone: (917) 327-2025
Fax: (718) 396-6189
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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 083465 (NY)
Social Worker Taxonomy 104100000X · Licence 0842191 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 9016602 (NY)

Record details

NPI number1548542483
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 16, 2011
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

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