Individual provider · Type 1 NPI

Mitchell Koenig, LCSW

Clinical Social Worker · Rockville Centre, NY

NPI number 1679400543 Active

Practice location

55 Baylis Rd
Rockville Centre, NY 11570-1111

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06648900 (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 1679400543

Mitchell Koenig, LCSW's National Provider Identifier is 1679400543, issued on May 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockville Centre, NY. The record was last updated on May 6, 2026.