Individual provider · Type 1 NPI

Susan G. Mikesell, PHD; LICSW

Clinical Social Worker · Beverly, MA

NPI number 1710989645 Active

Practice location

8 Thorndike St
Beverly, MA 01915-5858

Fax (978) 462-2890

Mailing address

143 State St
Newburyport, MA 01950-6621

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X111938 (MA)

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 1710989645

Susan G. Mikesell, PHD; LICSW's National Provider Identifier is 1710989645, issued on Aug 11, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Beverly, MA. The record was last updated on Jul 13, 2026.