Provider Demographics
NPI:1447365838
Name:CASIMIR, MIREILLE (LCSW)
Entity type:Individual
Prefix:
First Name:MIREILLE
Middle Name:
Last Name:CASIMIR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 E 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3303
Mailing Address - Country:US
Mailing Address - Phone:718-241-5409
Mailing Address - Fax:718-241-5409
Practice Address - Street 1:1261 EAST 59TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234
Practice Address - Country:US
Practice Address - Phone:718-241-5409
Practice Address - Fax:718-241-5409
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0698681041C0700X
NY0696861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical