Individual provider · Type 1 NPI

Mimosa Gordon, LMT

Clinical Social Worker · Bearsville, NY

NPI number 1861055477 Active

Practice location

80 New Cut Rd
Bearsville, NY 12409-5025

Mailing address

125 W 15th St
New York, NY 10011-6701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Massage Therapist 225700000X009861 (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 1861055477

Mimosa Gordon, LMT's National Provider Identifier is 1861055477, issued on Apr 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bearsville, NY. The record was last updated on May 11, 2026.