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

Miss. Kristina Rose Mirra, LCSW

Individual provider Clinical Social Worker · NPI 1538651351

Miss. Kristina Rose Mirra, LCSW is a Clinical Social Worker in Peekskill, New York. Graduated from University of Southern California Keck School of Medicine in 2016, 10 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
University of Southern California Keck School of Medicine
Licensed in
NY
In the registry since
2018
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

1101 Main St
Peekskill, NY 10566-2907
Phone: (914) 737-7338
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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 093210 (NY)

Record details

NPI number1538651351
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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