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

Mrs. Michelle Lisette Mulligan, LCSW

Individual provider Clinical Social Worker · NPI 1306906870

Mrs. Michelle Lisette Mulligan, LCSW is a Clinical Social Worker in Wantagh, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

3375 Park Ave 3003-1
Wantagh, NY 11793-3733
Phone: (516) 826-4317
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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 074518 (NY)

Record details

NPI number1306906870
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007

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