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ALEXANDER JACKSON MCKILLOP LCSW
NPI 1396443958
Social Worker - Clinical in Mount Sinai, NY

Active since February 22, 2023
11 MARCY DR, MOUNT SINAI, NY 11766(631) 905-7632 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexander Jackson Mckillop Lcsw NPPES

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

ALEXANDER JACKSON MCKILLOP LCSW (NPI 1396443958) is an individual clinical provider in Mount Sinai, New York, licensed in New York (094674) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1396443958
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameALEXANDER JACKSON MCKILLOPCredential: LCSW
Location Address11 MARCY DRMount Sinai, NY 11766-2213
Mailing Address11 Marcy DrMount Sinai, NY 11766-2213 · (631) 905-7632
Phone(631) 905-7632
Sole ProprietorNo
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1396443958 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 · 094674
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.
11 MARCY DR, Mount Sinai, NY 11766
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Other Names 1

Other Name (5)Jack Mckillop Lcsw

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 Alexander Mckillop's NPI number?

The NPI number for Alexander Mckillop is 1396443958. It was assigned to this individual provider in the NPPES registry on February 22, 2023. The provider is also known as Jack Mckillop Lcsw.

Where is Alexander Mckillop located?

Alexander Mckillop practices at 11 Marcy Dr, Mount Sinai, NY 11766. The listed phone number is (631) 905-7632.

What is Alexander Mckillop's specialty?

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

When was this NPI record last updated?

The NPPES record for Alexander Mckillop was last updated on February 22, 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.