Healthcare Provider Details

I. General information

NPI: 1912843699
Provider Name (Legal Business Name): LAUREN RICCIARDI LCSW, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST STE 409
BROOKLYN NY
11242-1134
US

IV. Provider business mailing address

26 COURT ST STE 409
BROOKLYN NY
11242-1134
US

V. Phone/Fax

Practice location:
  • Phone: 917-391-9467
  • Fax:
Mailing address:
  • Phone: 917-391-9467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN C RICCIARDI
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCSW
Phone: 917-391-9467