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General NPI Number Information
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NPI Number | 1114816337
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Entity Type | Organization
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Legal Business Name | THE CITY PSYCHOTHERAPY NEW YORK, LCSW, PLLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 2028 RITTENHOUSE SQ APT 301
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5621
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Country | US
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Telephone | 646-760-8421
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Fax | 646-921-9525
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Provider Business Mailing Address
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Address Line | 228 PARK AVE S # 16968
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City | NEW YORK
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State | NY
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Zip | 10003-1502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL OLAVARRIA
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Credential | DSW, LCSW
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Telephone | 646-760-8421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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