Individual provider · Type 1 NPI

Jenna R. Mirza, LMSW

Clinical Social Worker · Westbury, NY

NPI number 1649074980 Active

Practice location

1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156

Call (516) 393-8330 Map

Mailing address

719 Woodside Dr
Wantagh, NY 11793-1141

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X102498 (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 1649074980

Jenna R. Mirza, LMSW's National Provider Identifier is 1649074980, issued on Apr 3, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westbury, NY. The record was last updated on Apr 3, 2025.