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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

INTENTIONAL LIFE THERAPY LCSW PLLC
NPI 1700794575
Social Worker - Clinical in New York, NY

Active since August 31, 2026
575 LEXINGTON AVE FL 14, NEW YORK, NY 10022(646) 776-2197(929) 290-0328 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Intentional Life Therapy Lcsw Pllc NPPES

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

INTENTIONAL LIFE THERAPY LCSW PLLC (NPI 1700794575) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since August 2026. The organization lists Jenny Reyes, Owner, as its authorized official.

NPPES Registry Identity

NPI1700794575
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTENTIONAL LIFE THERAPY LCSW PLLC
Location Address575 LEXINGTON AVE FL 14New York, NY 10022-6129
Mailing Address575 Lexington Ave Fl 14New York, NY 10022-6129 · (646) 776-2197 · Fax (929) 290-0328
Phone(646) 776-2197
Fax(929) 290-0328
Organization SubpartNo
Authorized OfficialJenny ReyesOwner · (646) 474-6206
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1700794575 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.
575 LEXINGTON AVE FL 14, New York, NY 10022
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Intentional Life Therapy Lcsw PLLC's NPI number?

The NPI number for Intentional Life Therapy Lcsw PLLC is 1700794575. It was assigned to this organization in the NPPES registry on August 31, 2026.

Where is Intentional Life Therapy Lcsw PLLC located?

Intentional Life Therapy Lcsw PLLC is located at 575 Lexington Ave Fl 14, New York, NY 10022. The listed phone number is (646) 776-2197.

What is Intentional Life Therapy 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 Intentional Life Therapy Lcsw PLLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.