Individual provider · Type 1 NPI

Juliette Denise Mine, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1447552419 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Mailing address

5204 Glenwood Dr
Pine Hill, NJ 08021-7625

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X44SL05612500 (NJ)
Clinical Social Worker Primary 1041C0700X44SC05578700 (NJ)

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 1447552419

Juliette Denise Mine, LCSW's National Provider Identifier is 1447552419, issued on Nov 24, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on May 5, 2015.