LIGHT LINE THERAPY LCSW, PLLC
NPI 1992644223
Social Worker - Clinical in New York, NY

Active since March 25, 2026
276 5TH AVE RM 604, NEW YORK, NY 10001(973) 664-7196 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Light Line Therapy Lcsw, Pllc NPPES

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

LIGHT LINE THERAPY LCSW, PLLC (NPI 1992644223) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since March 2026. The organization lists Jacob Mergendoller, Member-manager, as its authorized official.

NPPES Registry Identity

NPI1992644223
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIGHT LINE THERAPY LCSW, PLLC
Location Address276 5TH AVE RM 604New York, NY 10001-4527
Mailing Address276 5th Ave Rm 604New York, NY 10001-4527 · (973) 664-7196
Organization SubpartNo
Authorized OfficialJacob MergendollerMember-manager · (415) 686-1385
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
NPI 1992644223 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.
276 5TH AVE RM 604, New York, NY 10001

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 14

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

Psychiatry & Neurology (Psychiatry)
276 5TH AVE RM 604
NEW YORK, NY 10001
Psychologist
276 5TH AVE RM 604
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
276 5TH AVE RM 604
NEW YORK, NY 10001
Counselor (Mental Health)
276 5TH AVE RM 604
NEW YORK, NY 10001
Nurse Practitioner (Psychiatric/Mental Health)
276 5TH AVE RM 604
NEW YORK, NY 10001
Psychologist (Clinical)
276 5TH AVE RM 604
NEW YORK, NY 10001
Social Worker
276 5TH AVE RM 604
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
276 5TH AVE RM 604
NEW YORK, NY 10001

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 Light Line Therapy Lcsw, PLLC's NPI number?

The NPI number for Light Line Therapy Lcsw, PLLC is 1992644223. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Light Line Therapy Lcsw, PLLC located?

Light Line Therapy Lcsw, PLLC is located at 276 5th Ave Rm 604, New York, NY 10001. The listed phone number is (973) 664-7196.

What is Light Line 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 Light Line Therapy Lcsw, PLLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.