MEDICARE: MS. MIRCAH ESTIME 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	103260	NY

General Provider Information

NPI Number	:	1457927105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MIRCAH ESTIME LCSW

Provider Business Mailing Address
First Line	:	85 ROCKLAND LN
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-2311
Country	:	US
Telephone Number	:	646-717-0360
Fax Number	:

Provider Business Practice Location Address
First Line	:	54 MAIN ST STE 201
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-3660
Country	:	US
Telephone Number	:	914-335-3414
Fax Number	:

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	06/18/2026

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