Joshua Michael Mirsky, LCSW, CCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084970-01 Issued in NY

Practice address

181 Gibson Blvd
Valley Stream, NY 11581-3323

Phone

(516) 643-3088

Fax

(516) 791-8599

NPI assigned

Aug 2, 2023

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1891477568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 GIBSON BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813323",
            "telephone_number": "516-643-3088",
            "fax_number": "516-791-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 GIBSON BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813323",
            "telephone_number": "516-643-3088",
            "fax_number": "516-791-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRSKY",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW, CCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084970-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Integral Health NP in Psychiatry PLLC
• Glenn Harvey Mintz, RPH
• Sue P. Mintz, DLCSW
• Miracle Hill LLC
• Miriam Simon, Inc.
• Kiah Mitchell, LPN
• William A Mittler, D.D.S.,M.S.
• Lenke Mizrachi-Florentziu, NP
• MKR Medical PC
• Marzena Mleczko, DPM

• Clinical Social Worker in Valley Stream, NY
• Providers in Valley Stream, 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 Aug 2, 2023; 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.