Kristina Rose Mirra, LCSW
NPI 1538651351ActiveIndividual· Social Worker, Clinical· Peekskill, NY
Social Worker, Clinical (LCSW) in Peekskill, New York, trained at University of Southern California Keck School of Medicine (class of 2016). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1538651351 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Jun 6, 2018 |
| Last updated in NPPES | Dec 8, 2022 |
| Certified by provider | Dec 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 093210 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (CT) |
|---|
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Nuvance Health Medical Practice CT IncDanbury, CT · 747 clinicians
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All 57 clinical social workers in Peekskill · All clinical social workers in New York