Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse A Mir, LCSW

Individual provider Clinical Social Worker · NPI 1205663036

Jesse A Mir, LCSW is a Clinical Social Worker in Laramie, Wyoming. Practices as a sole proprietor. Licensed in New Jersey and Wyoming.

Licensed in
NJ, WY
In the registry since
2024
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

204 McCollum St Ste 201
Laramie, WY 82070-5127
Phone: (973) 873-8432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-1625 (WY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC06261200 (NJ)

Record details

NPI number1205663036
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateAugust 27, 2024
Mailing address402 Corthell Rd, Laramie, WY 82070-4875

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