Lived Experience Therapists, Lcsw PLLC
NPI 1902763915ActiveOrganization· Social Worker, Clinical· Queens Village, NY
Social Worker, Clinical in Queens Village, New York, registered in NPPES in January 2026. The authorized official on file is Joseph Devaughn Williams, DSW, LCSW, Co-Owner.
Overview
| NPI | 1902763915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2026 |
| Last updated in NPPES | Jan 9, 2026 |
| Certified by provider | Jan 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical social workers in Queens Village
- 1063992345
- 1255154282
- 1508295650
- 1629938188
- 1710846910
- 1285348292
- 1801303219
- 1992082424
- 1851968317
- 1770090847
- 1386914901
- 1770445876
All 58 clinical social workers in Queens Village · All clinical social workers in New York