Healthcare Provider Details

I. General information

NPI: 1477388460
Provider Name (Legal Business Name): JESSICA ESPOSITO PSYCHOTHERAPY, LCSW, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 MAMARONECK AVE STE 202
MAMARONECK NY
10543-1661
US

IV. Provider business mailing address

933 MAMARONECK AVE STE 202
MAMARONECK NY
10543-1661
US

V. Phone/Fax

Practice location:
  • Phone: 914-361-9571
  • Fax:
Mailing address:
  • Phone: 914-361-9571
  • Fax: 914-537-0084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ESPOSITO
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 914-361-9571