- Practice location
- 1101 Main St, Peekskill, NY 10566-2907
- Phone
- 914-737-7338
- Fax
- —
- Last updated
- December 8, 2022
Kristina Rose Mirra is a Social Worker, Clinical based in Peekskill, NY. Kristina Rose Mirra practices in Peekskill, NY and has the professional credentials of LCSW. The NPI Number for Kristina Rose Mirra is 1538651351 and holds a License No. 093210 (NY). The current practice location address for Kristina Rose Mirra is 1101 Main St, Peekskill, NY 10566-2907 and can be reached out via phone at 914-737-7338.
Provider Profile Details
- NPI Number
- 1538651351
- Provider Name
- Kristina Rose Mirra
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1101 Main St, Peekskill, NY 10566-2907
- Phone Number
- 914-737-7338
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2018
- Last Update Date
- December 8, 2022
- Certification Date
- December 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1101 Main St
Peekskill, NY 10566-2907 - City
- Peekskill
- State
- New York
- Zip
- 10566-2907
- Phone Number
- 914-737-7338
Provider Business Mailing Address Details
- Address
- 845 N Broadway
White Plains, NY 10603-2427 - City
- White Plains
- State
- NY
- Zip
- 10603-2427
- Phone Number
- 914-761-0600
- Fax Number
- 914-761-5367
License Information
- License Number
- 093210
- License State
- NY
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Peekskill, NY
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Frequently Asked Questions
What is the NPI number of Miss Kristina R Mirra, LCSW?
The NPI number of Miss Kristina R Mirra, LCSW is 1538651351. It was assigned on June 6, 2018 and is currently active in the NPPES registry.
What is the specialty of Miss Kristina R Mirra, LCSW?
Miss Kristina R Mirra, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 093210.
Where does Miss Kristina R Mirra, LCSW practice?
The practice location is 1101 Main St, Peekskill, NY 10566-2907. The office can be reached at 914-737-7338 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538651351 directly on the NPPES registry website.