Individual provider · Type 1 NPI

Michelle Lisette Mulligan, LCSW

Clinical Social Worker · Wantagh, NY

NPI number 1306906870 Active

Practice location

3375 Park Ave, 3003-1
Wantagh, NY 11793-3733

Call (516) 826-4317 Map

Mailing address

5 Brier Hollow Ct
Manorville, NY 11949-3233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X074518 (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 1306906870

Michelle Lisette Mulligan, LCSW's National Provider Identifier is 1306906870, issued on Dec 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wantagh, NY. The record was last updated on Jul 8, 2007.