Individual provider · Type 1 NPI

Alphonso Mitchum, LCSW

Clinical Social Worker · Albany, NY

NPI number 1598859092 Active

Practice location

113 Holland Ave
Albany, NY 12208-3410

Call (518) 626-5162 Map

Fax (518) 462-3099

Mailing address

350 Clinton Avenue
Albany, NY 12206

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X069423-1 (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 1598859092

Alphonso Mitchum, LCSW's National Provider Identifier is 1598859092, issued on Oct 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, NY. The record was last updated on Jul 28, 2008.