Mary A Miceli is a Clinical in Staten Island, New York. Mary A Miceli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary A Miceli is 1578617916. The last update date is 2007-07-08.
Mary A Miceli's current location address is 174 3rd Street, Staten Island, New York. You can contact this provider via phone number 7186682945 and fax number 7186682945. The mailing address for Mary A Miceli is 174 3rd Street, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Miceli |
|---|---|
| Address | 174 3rd Street, Staten Island, New York |
| Phone Number | 7186682945 |
| Fax Number | 7186682945 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578617916 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 174 3rd Street |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103062210 |
| Phone Number | 7186682945 |
| Fax Number | 7186682945 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R051448 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7700310 | AETNA | ||
| P2409429 | OXFORD |
Post Comment/ Review Below
What is the unique identifier code issued to Mary A Miceli by the Centers for Medicare & Medicaid Services (CMS)?
The Mary A Miceli has been assigned the NPI (National Provider Identifier) 1578617916. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mary A Miceli?
The Mary A Miceli is situated at 174 3Rd Street, in the city of Staten Island, state of NY, with the zip code 103062210.
What is Mary A Miceli's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary A Miceli's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Mary A Miceli receive its 1578617916 assignment?
The Mary A Miceli was assigned its 1578617916 on 2007-01-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mary A Miceli, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary A Miceli, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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