Organization · Type 2 NPI

Mindful Therapy Lcsw, PLLC

Clinical Social Worker · Commack, NY

NPI number 1275014136 Active

Practice location

2171 Jericho Turnpike, Suite 335
Commack, NY 11725

Mailing address

5 Priory Ct
Melville, NY 11747-3914

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR058833-1 (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 1275014136

Mindful Therapy Lcsw, PLLC's National Provider Identifier is 1275014136, issued on Aug 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Commack, NY. The record was last updated on Aug 28, 2018.