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

Mr. Thaddeus Anthony Miksinski III, LCSW-C

Individual provider Clinical Social Worker · NPI 1376558098

Mr. Thaddeus Anthony Miksinski III, LCSW-C is a Clinical Social Worker in Severna Park, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006

Practice location Address checks out

650 Ritchie Hwy Ste 207
Severna Park, MD 21146-3916
Phone: (410) 315-9350
Fax: (410) 315-9353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11805 (MD)

Record details

NPI number1376558098
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 8, 2007

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