Individual provider · Type 1 NPI

Thomas Eugene Mikoda, LCSW-R

Clinical Social Worker · Harpursville, NY

NPI number 1093159501 Active

Practice location

2384 Colesville Rd
Harpursville, NY 13787-1727

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO75271-1 (NY)

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 1093159501

Thomas Eugene Mikoda, LCSW-R's National Provider Identifier is 1093159501, issued on Apr 26, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Harpursville, NY. The record was last updated on Apr 26, 2013.