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

Mickey Correa, LCSW, MDIV

Individual provider Social Worker · NPI 1578801684

Mickey Correa, LCSW, MDIV is a Clinical Social Worker in Brooklyn, New York. Qualified in 2009, 17 years ago. Practices with Lesbian and Gay Community Services Center, Inc, a 2-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2013
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

65 Bush St Apt 1A
Brooklyn, NY 11231-1762
Phone: (718) 483-5829
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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 081048 (NY)
Social Worker Taxonomy 104100000X · Licence 082796 (NY)

Record details

NPI number1578801684
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , MDIV
Sole proprietorNo
NPI enumeratedJanuary 24, 2013
Last updated in NPPESAugust 28, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lesbian And Gay Community Services Center, Inc — 2 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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