Contact Melissa
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Consider sharing a bit about what you're looking for in a therapist, what you'd like to focus on, or if you have specific needs.

I look forward discussing whatever drew you to my practice. 
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Whom (and/or what platform) can I thank for your referral?  *
If you were referred by an individual, please provide their phone number if you have it. 

Thank you!
If you are looking for couples or family therapy, please include the First & Last Name of your partner/family members, their DOB, phone number and email address. 

Thank you!
If you need help submitting claims to your insurance for reimbursement, please select your network.
Thank you for your interest, I hope to connect soon. If you do not receive a reply from me within 1-2 weeks, please feel free to call (646) 504-5458. 

*   All forms are confidential    *
Update: Jan. 2023

To ensure that my clients receive the highest quality of care, I can take on only so many clients at once. By filling out this form, you have added yourself to the waitlist! When a session time becomes available, I will reply to new inquiries in the order in which they arrived. 

In the meantime, feel free to peruse the Resources on my website, which are updated frequently.

You can also set up your profile on my secure Simple Practice client portal to message me directly or to schedule a 15-min consultation, free of charge.

Warm Regards,
MELISSA GOTTLIEB, LCSW

"If you change the way you look at things, the things you look at change." - Wayne Dyer

** If you are in extreme distress or experiencing suicidal ideation and need immediate assistance, please call 988, text HOME to 741741 or go to your nearest emergency room.**  

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