FANNY TRISTAN, LCSW, PLLC - NPI 1578360640 - Social Worker in New York, NY

Q: What is Fanny Tristan, Lcsw, PLLC's NPI number?

The NPI number for Fanny Tristan, Lcsw, PLLC is 1578360640. It was assigned to this organization in the NPPES registry on February 26, 2025.

Q: What is Fanny Tristan, Lcsw, PLLC's specialty?

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

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About Fanny Tristan, Lcsw, Pllc NPPES

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

FANNY TRISTAN, LCSW, PLLC (NPI 1578360640) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since February 2025. The organization lists Fanny Tristan, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1578360640

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameFANNY TRISTAN, LCSW, PLLC

Location Address1115 BROADWAY FL 12New York, NY 10010-3452

Mailing Address1115 Broadway Fl 12New York, NY 10010-3452 · (347) 836-9705

Phone(347) 836-9705

Organization SubpartNo

Authorized OfficialFanny TristanFounder/ceo · (347) 836-9705

Enumeration DateFebruary 26, 2025

NPPES CertifiedFebruary 26, 2025

✔ NPI 1578360640 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.

1115 BROADWAY FL 12, New York, NY 10010

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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN TODD

Psychologist (Clinical)