Active NPIIndividual provider

Kyle N Miceli, MSW, LCSW, CSSW

Social Worker, Clinical in Mount Laurel, New Jersey

NPI Number1689268625
Practice location
3110 Route 38, Mount Laurel, NJ 08054-9724
Fax
—
Last updated
January 18, 2024

Kyle Nicholas Miceli is a Social Worker, Clinical based in Mount Laurel, NJ. Kyle Nicholas Miceli practices in Mount Laurel, NJ and has the professional credentials of MSW, LCSW, CSSW. The NPI Number for Kyle Nicholas Miceli is 1689268625 and holds a License No. 16485 (SC). The current practice location address for Kyle Nicholas Miceli is 3110 Route 38, Mount Laurel, NJ 08054-9724 and can be reached out via phone at 856-235-7126.

Provider Profile Details

NPI Number
1689268625
Provider Name
Kyle Nicholas Miceli
Credential
MSW, LCSW, CSSW
Provider Entity Type
Individual
Gender
Male
Address
3110 Route 38, Mount Laurel, NJ 08054-9724
Phone Number
856-235-7126
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2021
Last Update Date
January 18, 2024
Certification Date
January 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3110 Route 38
Mount Laurel, NJ 08054-9724
Zip
08054-9724
Phone Number
856-235-7126
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
3110 Route 38
Mount Laurel, NJ 08054-9724
City
Mount Laurel
State
NJ
Zip
08054-9724
Phone Number
856-235-7126

License Information

License Number (1)
16485
License State (1)
SC
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05968900
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kyle N Miceli, MSW, LCSW, CSSW?

The NPI number of Kyle N Miceli, MSW, LCSW, CSSW is 1689268625. It was assigned on February 21, 2021 and is currently active in the NPPES registry.

What is the specialty of Kyle N Miceli, MSW, LCSW, CSSW?

Kyle N Miceli, MSW, LCSW, CSSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in SC under license number 16485.

Where does Kyle N Miceli, MSW, LCSW, CSSW practice?

The practice location is 3110 Route 38, Mount Laurel, NJ 08054-9724. The office can be reached at 856-235-7126 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689268625 directly on the NPPES registry website.

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