CLEMENTINE PSYCHOTHERAPY LCSW – NPI #1386536316
Clinic/Center

CLEMENTINE PSYCHOTHERAPY LCSW is an AHC clinic located in NEW YORK, NY. NPPES has assigned the NPI number 1386536316 to CLEMENTINE PSYCHOTHERAPY LCSW on July 15, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEMENTINE PSYCHOTHERAPY LCSW below.

NPI Profile for
CLEMENTINE PSYCHOTHERAPY LCSW

NPI Number
1386536316
Enumeration Date

(about 11 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEMENTINE PSYCHOTHERAPY LCSW
Primary location
31 W 34TH ST
FL 8
NEW YORK, NY 10001
Phone: (914) 350-4270 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ASHLEY CHOI
MEMBER-MANAGER
Phone: (914) 350-4270
Updated
Certification Date
Jul 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.