Individual provider · Type 1 NPI

Leora Mirkin

Clinical Social Worker · Madison, WI

NPI number 1942653340 Active

Practice location

2614 Ravenswood Rd
Madison, WI 53711-4053

Fax (608) 403-4257

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone 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…

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About NPI 1942653340

Leora Mirkin's National Provider Identifier is 1942653340, issued on Jul 20, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Aug 9, 2021.