Individual provider · Type 1 NPI

Jean Marie Mimmo, LMSW

Clinical Social Worker · Oyster Bay, NY

NPI number 1417323221 Active

Practice location

185 South St
Oyster Bay, NY 11771-2254

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X047771-1 (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 1417323221

Jean Marie Mimmo, LMSW's National Provider Identifier is 1417323221, issued on Aug 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oyster Bay, NY. The record was last updated on Aug 16, 2015.