Individual provider · Type 1 NPI

Mickey Correa, LCSW, M.DIV.

Clinical Social Worker · Brooklyn, NY

NPI number 1578801684 Active

Practice location

65 Bush St, Apt. 1A
Brooklyn, NY 11231-1762

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X082796 (NY)
Clinical Social Worker Primary 1041C0700X081048 (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 1578801684

Mickey Correa, LCSW, M.DIV.'s National Provider Identifier is 1578801684, issued on Jan 24, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 28, 2013.