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JEAN MARIE MIMMO LMSW
NPI 1417323221
Social Worker - Clinical in Oyster Bay, NY

Active since August 16, 2015
185 SOUTH ST, OYSTER BAY, NY 11771(516) 628-8019 Get Directions Write a Review

NPPES record last updated: August 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jean Marie Mimmo Lmsw NPPES

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

JEAN MARIE MIMMO LMSW (NPI 1417323221) is an individual clinical provider in Oyster Bay, New York, licensed in New York (047771-1) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1417323221
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEAN MARIE MIMMOCredential: LMSW
Location Address185 SOUTH STOyster Bay, NY 11771-2254
Mailing Address185 South StOyster Bay, NY 11771-2254 · (516) 628-8019
Phone(516) 628-8019
Sole ProprietorYes
Enumeration DateAugust 16, 2015
✔ NPI 1417323221 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 · 047771-1
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.
185 SOUTH ST, Oyster Bay, NY 11771
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAWRENCE GUERRA PH.D.
Psychologist (Clinical Child & Adolescent)
185 SOUTH ST
OYSTER BAY, NY 11771
Nassau County (516) 802-0284
DR. LAWRENCE GUERRA, PSYCHOLOGIST, PC
Psychologist (Clinical)
185 SOUTH ST, SUITE 100
OYSTER BAY, NY 11771
Nassau County (516) 628-0932
MR. THEODORE JOSEPH VLAVIANOS MA, LMHC, NCC
Counselor (Mental Health)
185 SOUTH ST
OYSTER BAY, NY 11771
Nassau County (516) 978-2684

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 Jean Marie Mimmo's NPI number?

The NPI number for Jean Marie Mimmo is 1417323221. It was assigned to this individual provider in the NPPES registry on August 16, 2015.

Where is Jean Marie Mimmo located?

Jean Marie Mimmo practices at 185 South St, Oyster Bay, NY 11771. The listed phone number is (516) 628-8019.

What is Jean Marie Mimmo'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 Jean Marie Mimmo was last updated on August 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.