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ESSENTIAL COUNSELING WELLNESS LCSW PLLC
NPI 1063053916
Social Worker - Clinical in New York, NY

Active since October 02, 2019
99 WALL ST STE 580, NEW YORK, NY 10005(917) 405-6352(646) 767-0539 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2022, Nov 4, 2021, Oct 2, 2019 (3 updates tracked since 2019).

About Essential Counseling Wellness Lcsw Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIAL COUNSELING WELLNESS LCSW PLLC (NPI 1063053916) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since October 2019. The organization maintains a secondary practice location in Brooklyn and lists Keith Douglas Blackburn, Ceo/therapist, as its authorized official.

NPPES Registry Identity

NPI1063053916
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameESSENTIAL COUNSELING WELLNESS LCSW PLLC
Location Address99 WALL ST STE 580New York, NY 10005-4301
Mailing Address583 5th StBrooklyn, NY 11215-3503
Phone(917) 405-6352
Fax(646) 767-0539
Organization SubpartNo
Authorized OfficialKeith Douglas BlackburnCeo/therapist · (347) 460-1305
Enumeration DateOctober 2, 2019
Last NPPES UpdateSeptember 6, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1063053916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
99 WALL ST STE 580, New York, NY 10005
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Secondary Practice Location 1

Location 1583 5th StBrooklyn, NY 11215-3503 · Phone (347) 460-1305

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essential Counseling Wellness Lcsw PLLC's NPI number?

The NPI number for Essential Counseling Wellness Lcsw PLLC is 1063053916. It was assigned to this organization in the NPPES registry on October 2, 2019.

Where is Essential Counseling Wellness Lcsw PLLC located?

Essential Counseling Wellness Lcsw PLLC is located at 99 Wall St Ste 580, New York, NY 10005. The listed phone number is (917) 405-6352.

What is Essential Counseling Wellness Lcsw PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Essential Counseling Wellness Lcsw PLLC was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.