Provider Demographics
NPI:1457927105
Name:ESTIME, MIRCAH (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MIRCAH
Middle Name:
Last Name:ESTIME
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 ROCKLAND LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2311
Mailing Address - Country:US
Mailing Address - Phone:646-717-0360
Mailing Address - Fax:
Practice Address - Street 1:54 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3660
Practice Address - Country:US
Practice Address - Phone:914-335-3414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111674-07104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker