Kyle Nicholas Miceli, MSW, LCSW, CSSW,

Clinical Social Worker · Mount Laurel, NJ

Individual Active NPI

NPI number 1689268625

Practice location

3110 Route 38
Mount Laurel, NJ 08054-9724
Phone
(856) 235-7126

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NPI record

NPI
1689268625
Entity type
Individual (Type 1)
Enumeration date
February 21, 2021
Last updated
January 18, 2024
Certified
January 18, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 44SC05968900 NJ
Clinical Social Worker 1041C0700X 16485 SC

Other practice locations (1)

  • 698 Fairview Rd, Simpsonville, SC 29680-6708 · (866) 389-2727

About Kyle Miceli

Kyle Nicholas Miceli, MSW, LCSW, CSSW, is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 3110 Route 38, Mount Laurel, NJ 08054-9724. The NPI number 1689268625 was assigned on February 21, 2021 and the record was last updated on January 18, 2024.

Kyle Miceli lists 2 licenses in the registry: #44SC05968900 (NJ) for Clinical Social Worker; #16485 (SC) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

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

The NPI number is 1689268625.

What is the phone number of Kyle Miceli?

The phone number listed for the practice location is (856) 235-7126.

Where is Kyle Miceli located?

3110 Route 38, Mount Laurel, NJ 08054-9724.

What is the taxonomy code for Kyle Miceli?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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