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General NPI Number Information
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NPI Number | 1528993524
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Entity Type | Organization
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Legal Business Name | SB THERAPY, LCSW PLLC
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Dates
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Enumeration Date | 06/13/2026
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Last Update Date | 06/13/2026
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Provider Practice Location Address
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Address Line | 531 50TH AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-6297
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Country | US
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Telephone | 917-397-0291
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Fax |
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Provider Business Mailing Address
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Address Line | 347 5TH AVE STE 1402-247
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City | NEW YORK
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State | NY
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Zip | 10016-5010
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Country | US
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Telephone | 917-397-0291
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | TARA STARIN-BASI
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Credential | LCSW-R
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Telephone | 917-397-0291
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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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