LIVED EXPERIENCE THERAPISTS, LCSW PLLC
NPI 1902763915
Social Worker - Clinical in Queens Village, NY

Active since January 09, 2026
9711 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429(718) 749-2596 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lived Experience Therapists, Lcsw Pllc NPPES

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

LIVED EXPERIENCE THERAPISTS, LCSW PLLC (NPI 1902763915) is a healthcare organization registered as a clinical in Queens Village, New York and active in the NPI registry since January 2026. The organization lists Joseph Devaughn Williams, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1902763915
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIVED EXPERIENCE THERAPISTS, LCSW PLLC
Location Address9711 SPRINGFIELD BLVDQueens Village, NY 11429-1328
Mailing Address97-11 Springfield BlvdQueens Village, NY 11429 · (718) 749-2596
Organization SubpartNo
Authorized OfficialJoseph Devaughn WilliamsCo-owner · (718) 749-2596
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
NPI 1902763915 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.
9711 SPRINGFIELD BLVD, Queens Village, NY 11429

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

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies
9711 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11429

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 Lived Experience Therapists, Lcsw PLLC's NPI number?

The NPI number for Lived Experience Therapists, Lcsw PLLC is 1902763915. It was assigned to this organization in the NPPES registry on January 9, 2026.

Where is Lived Experience Therapists, Lcsw PLLC located?

Lived Experience Therapists, Lcsw PLLC is located at 9711 Springfield Blvd, Queens Village, NY 11429. The listed phone number is (718) 749-2596.

What is Lived Experience Therapists, 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 Lived Experience Therapists, Lcsw PLLC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.