Individual provider · Type 1 NPI

Mikhail Khaimov, M.S.W.

Clinical Social Worker · Forest Hills, NY

NPI number 1457408205 Active

Practice location

10470 Queens Blvd, Suite 200
Forest Hills, NY 11375-3694

Fax (718) 275-6062

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700XP08916 (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 1457408205

Mikhail Khaimov, M.S.W.'s National Provider Identifier is 1457408205, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Forest Hills, NY. The record was last updated on Feb 15, 2018.