MEDICARE: MIMI OGAWA-SPIGLAND LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	086277-01	NY

General Provider Information

NPI Number	:	1154756427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIMI OGAWA-SPIGLAND LCSW

Provider Business Mailing Address
First Line	:	2348 POST RD STE 107
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-2271
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1087 FLUSHING AVE APT 216
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-1823
Country	:	US
Telephone Number	:	646-287-7271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2013
Last Update Date	:	01/29/2026

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