Organization · Type 2 NPI
Mindful Realization LLC
Clinical Social Worker · Northport, NY
Practice location
160 Laurel Ave
Northport, NY 11768-3168
Mailing address
4 Haig Pl
Kings Park, NY 11754-5111
Other practice locations
- 4 Haig Pl, Kings Park, NY 11754-5111 · (631) 971-8772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | None listed |
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…
Other clinical social worker providers in Northport
About NPI 1770439648
Mindful Realization LLC's National Provider Identifier is 1770439648, issued on Mar 4, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northport, NY. The record was last updated on Apr 14, 2026.