Individual provider · Type 1 NPI

Jesse A. Mir, LCSW

Clinical Social Worker · Laramie, WY

NPI number 1205663036 Active

Practice location

204 Mccollum St Ste 201
Laramie, WY 82070-5127

Call (973) 873-8432 Map

Mailing address

402 Corthell Rd
Laramie, WY 82070-4875

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X44SC06261200 (NJ)
Clinical Social Worker Primary 1041C0700XLCSW-1625 (WY)

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 1205663036

Jesse A. Mir, LCSW's National Provider Identifier is 1205663036, issued on Sep 16, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laramie, WY. The record was last updated on Sep 16, 2024.