Individual provider · Type 1 NPI

Jaclyn Mirabile, LCSW

Clinical Social Worker · Freeport, NY

NPI number 1760917413 Active

Practice location

91 Guy Lombardo Ave
Freeport, NY 11520-3731

Call (516) 868-3030 Map

Mailing address

94 Cardinal Ln
Hauppauge, NY 11788-2118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X084225 (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 1760917413

Jaclyn Mirabile, LCSW's National Provider Identifier is 1760917413, issued on May 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Freeport, NY. The record was last updated on May 1, 2017.