Mildret Kirkup, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091341 Issued in NY

Practice address

669 Main St # 1049
New Rochelle, NY 10801-7101

Phone

(914) 275-2040

NPI assigned

Mar 8, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 18, 2025 through Jul 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Village Therapy Services LCSW PLLC

  • Adult Mental Health Clinic/Center
  • Pelham, NY
  • NPI 1447085865
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1003516907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MAIN ST # 1049",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017101",
            "telephone_number": "914-275-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MAIN ST # 1049",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017101",
            "telephone_number": "914-275-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKUP",
        "first_name": "MILDRET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Need Occupational Therapy PLLC
• Moonsun Kim, DDS
• Yoola Kim, PHARMD
• Kind Loyal Service RN Healthcare Services PLLC
• Briana King Rhein
• Charisse Kirnaz, MD, MS
• Dennis William Kitchen, M.AC.
• Jennifer Marie Kitson-Caffrey, MS IN ED
• Stephen Carl Klass, MD
• Benjamin David Klebanoff, LMSW

• Clinical Social Worker in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.