Individual provider · Type 1 NPI

Thaddeus Anthony Miksinski Iii, LCSW-C

Clinical Social Worker · Severna Park, MD

NPI number 1376558098 Active

Practice location

650 Ritchie Hwy, Suite 207
Severna Park, MD 21146-3916

Call (410) 315-9350 Map

Fax (410) 315-9353

Mailing address

2406 Forest Edge Ct, #103 L
Odenton, MD 21113-2833

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11805 (MD)

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 1376558098

Thaddeus Anthony Miksinski Iii, LCSW-C's National Provider Identifier is 1376558098, issued on Jul 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Severna Park, MD. The record was last updated on Jul 8, 2007.