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

Mitchell Koenig, LCSW

Individual provider Clinical Social Worker · NPI 1679400543

Mitchell Koenig, LCSW is a Clinical Social Worker in Rockville Centre, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026
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

55 Baylis Rd
Rockville Centre, NY 11570-1111
Phone: (516) 993-2047
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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 44SC06648900 (NJ)

Record details

NPI number1679400543
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 6, 2026
Last updated in NPPESMay 6, 2026
Certification dateMay 5, 2026

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