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Affective Lcsw Services Pllc

Clinical Social Worker in Staten Island, NY · enumerated 2013 · authorized official Delsa Fauconier, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205257417

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Registry record

Entity type Organization (Type 2)
Legal business name Affective Lcsw Services Pllc
Other name <Unavail>
Practice address 97 Bush Ave, Staten Island, NY, 10303
Phone (347) 788-3775
Fax (718) 420-1032
Enumeration date Dec 16, 2013
Last updated in NPPES Aug 18, 2021

Taxonomy & classification

104100000X Social Worker Behavioral Health & Social Service Providers · License 083062 (NY) Secondary
104100000X Social Worker Behavioral Health & Social Service Providers · License 087435 (NY) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 075416 (NY) Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

Authorized official

Name Delsa Fauconier
Title President/Ceo
Phone (347) 788-3775

Other identifiers

Identifier Type State Issuer
03546563 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Affective Lcsw Services Pllc?
NPPES lists Delsa Fauconier (President/Ceo) as the authorized official for this organization.
What is the NPI number for Affective Lcsw Services Pllc?
The NPI for Affective Lcsw Services Pllc is 1205257417, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-18.