Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Philip Michael Mickulas, LCSW

Individual provider Clinical Social Worker · NPI 1275982639

Mr. Philip Michael Mickulas, LCSW is a Clinical Social Worker in Hempstead, New York. Graduated from Fordham University School of Medicine in 2009, 17 years ago. Practices with Epic Long Island, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2016
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

115 Holly Ave
Hempstead, NY 11550-5209
Phone: (516) 456-1189
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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 PR014494-1 (NY)

Record details

NPI number1275982639
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 7, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Epic Long Island — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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