Individual provider · Type 1 NPI

Dennis Mikkelsen, L.C.S.W.

Clinical Social Worker · Bayonne, NJ

NPI number 1154473213 Active

Practice location

601 Broadway
Bayonne, NJ 07002-3818

Call (201) 339-9200 Map

Mailing address

38 Rolling Hill Rd
Clinton, NJ 08809-2617

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC04809100 (NJ)

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 1154473213

Dennis Mikkelsen, L.C.S.W.'s National Provider Identifier is 1154473213, issued on Jan 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bayonne, NJ. The record was last updated on Nov 16, 2011.