Individual provider · Type 1 NPI
Ilia Mirkin
Clinical Social Worker · San Francisco, CA
Practice location
400 Anza St Apt 404
San Francisco, CA 94118-4390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 904018416 (VA) |
| Clinical Social Worker | 1041C0700X | 04256 (RI) |
| Clinical Social Worker | 1041C0700X | ISW04256 (MA) |
| Clinical Social Worker | 1041C0700X | SW24585 (FL) |
| Clinical Social Worker | 1041C0700X | 117684 (TX) |
| Clinical Social Worker Primary | 1041C0700X | 82847 (CA) |
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…
2 other providers at this address
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About NPI 1396178968
Ilia Mirkin's National Provider Identifier is 1396178968, issued on Aug 18, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Francisco, CA. The record was last updated on Jan 5, 2026.