Individual provider · Type 1 NPI
Krystallynne Shanielle Mikle, PhD, LCSW, MSW, BSW
Clinical Social Worker · Porter, TX
Practice location
21898 FM 1314 Road Suite C Pmb 104, Suite C Pmb 104
Porter, TX 77365
Mailing address
21898 FM 1314 Road, Suite C Pmb 104
Porter, TX 77365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 50664 (TX) |
| Mental Health Counselor | 101YM0800X | 50664 (TX) |
| Professional Counselor | 101YP2500X | 50664 (TX) |
| Social Worker | 104100000X | 50664 (TX) |
| Case Management Agency | 251B00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 50664 (TX) |
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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- Asia Mekell Brumfield, LCSWClinical Social Worker Porter, TX NPI 1538636899
- Kristin Elizabeth Malaer, LCSW-SClinical Social Worker Porter, TX NPI 1598458002
- Linda OlisaClinical Social Worker Porter, TX NPI 1942984794
About NPI 1346995818
Krystallynne Shanielle Mikle, PhD, LCSW, MSW, BSW's National Provider Identifier is 1346995818, issued on Feb 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Porter, TX. The record was last updated on Sep 26, 2023.