Organization · Type 2 NPI

Mindfully Restored, LLC

Clinical Social Worker · Glendale, NY

NPI number 1013653237 Active

Practice location

7835 74th St Fl 2
Glendale, NY 11385-7427

Mailing address

751 Linden Blvd, Ste A PMB2051
Brooklyn, NY 11203

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
School Counselor 101YS0200XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
School Social Worker 1041S0200XNone listed
Marriage & Family Therapist 106H00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013653237

Mindfully Restored, LLC's National Provider Identifier is 1013653237, issued on May 10, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Glendale, NY. The record was last updated on May 10, 2022.