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MILDRET KIRKUP LCSW
NPI 1003516907
Social Worker - Clinical in New Rochelle, NY

Active since March 08, 2023Opted out of Medicare · through Jul 18, 2027
669 MAIN ST # 1049, NEW ROCHELLE, NY 10801(914) 275-2040 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2023, Mar 29, 2023, Mar 8, 2023 (3 updates tracked since 2023).

About Mildret Kirkup Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILDRET KIRKUP LCSW (NPI 1003516907) is an individual clinical provider in New Rochelle, New York, licensed in New York (091341) and active in the NPI registry since March 2023. She has opted out of Medicare through July 18, 2027.

NPPES Registry Identity

NPI1003516907
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMILDRET KIRKUPCredential: LCSW
Location Address669 MAIN ST # 1049New Rochelle, NY 10801-7101
Mailing Address669 Main St # 1049New Rochelle, NY 10801-7101 · (914) 275-2040
Phone(914) 275-2040
Sole ProprietorYes
Enumeration DateMarch 8, 2023
Last NPPES UpdateApril 4, 20233 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1003516907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 091341
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
669 MAIN ST # 1049, New Rochelle, NY 10801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mildret Kirkup Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2025 through July 18, 2027.

Opt-Out Effective DateJuly 18, 2025
Opt-Out In Effect ThroughJuly 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mildret Kirkup's NPI number?

The NPI number for Mildret Kirkup is 1003516907. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Mildret Kirkup located?

Mildret Kirkup practices at 669 Main St # 1049, New Rochelle, NY 10801. The listed phone number is (914) 275-2040.

What is Mildret Kirkup's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mildret Kirkup enrolled in Medicare?

No. Mildret Kirkup has opted out of Medicare through July 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mildret Kirkup was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.