Healthcare Provider Details

I. General information

NPI: 1669384905
Provider Name (Legal Business Name): CORA RICHTER PSYCHOTHERAPY LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 CHEEVERS LN
STATEN ISLAND NY
10307-2416
US

IV. Provider business mailing address

219 CHEEVERS LN
STATEN ISLAND NY
10307-2416
US

V. Phone/Fax

Practice location:
  • Phone: 929-249-0095
  • Fax:
Mailing address:
  • Phone:
  • 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: CORA RICHTER
Title or Position: OWNER
Credential: LCSW
Phone: 774-526-1341