Mindful Realization LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL REALIZATION LLC

Practice address

160 Laurel Ave
Northport, NY 11768-3168

Phone

(631) 971-8772

NPI assigned

Mar 4, 2026

Organization subpart

No

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

Authorized official

Name

Caitlin Clouse, LCSWNPI 1598238131

Title

Founder

Phone

(631) 971-8772

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin Clouse, MSW

  • Counselor
  • Garden City, NY
  • NPI 1598238131
  NPD Authorized official

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1770439648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HAIG PL",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117545111",
            "telephone_number": "631-971-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LAUREL AVE",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683168",
            "telephone_number": "631-971-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Haig Pl",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117545111",
            "country_code": "US",
            "telephone_number": "631-971-8772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL REALIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "631-971-8772",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meyerholz Physical Therapy PLLC
• Robyn Jean Mikulas, OTR/L
• Melody Millando-Wirtenson, PH.D.
• Terri Anne Miller, NP
• Alison B Milligan, COTA
• Angelo Thomas Minerva
• Elsa Gisella Esmeralda Mirasol, M.D
• Maria Jean Mirissis, MASSAGE THERAPIST
• Amit Mittal, MD
• Linda Moerck, DO

• Clinical Social Worker in Northport, NY
• Providers in Northport, 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 14, 2026; 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.