MEDICARE: SUNLIGHT PSYCHOTHERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1245794007	OTHER		PERSONAL TYPE 1 NPI NUMBER

General Provider Information

NPI Number	:	1427814193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNLIGHT PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	220 9TH ST STE 2060
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4288
Country	:	US
Telephone Number	:	917-524-9372
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 9TH ST STE 2060
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4288
Country	:	US
Telephone Number	:	917-524-9372
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	JENICE ACOSTA
Credential	:	LCSW
Telephone Number	:	917-524-9372

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	01/05/2026

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Directions to “SUNLIGHT PSYCHOTHERAPY LLC ” Practice Location

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