Phillip Mirell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077828 Issued in NY

Legal business name

PHILLIP MIRELL, LCSW

Practice address

1389 E 18TH St
Brooklyn, NY 11230-7521

Phone

(718) 510-2029

NPI assigned

May 8, 2015

Last updated

May 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip Mirell, LCSW

Title

Licensed Clinical Social Worker

Phone

(718) 510-2029

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1750769881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 E 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307521",
            "telephone_number": "718-510-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 E 18TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307521",
            "telephone_number": "718-510-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP MIRELL, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "MIRELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "718-510-2029",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03344281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Philipson, LCSW
• Mackendy Philis
• Chantale Philistin, REGISTERED NURSE
• Herve Landa Philistin
• Mirlande Philistin
• Phillip S. Frank DDS PC
• Mary Linda Phillip-Henry, R.N.
• Keenya Phillip-Weekes, PA
• Ashley Nicole Phillip, NP
• Deron Phillip, PA

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.