Individual provider · Type 1 NPI

Charles Miceli, MSW, LCSW

Clinical Social Worker · Debary, FL

NPI number 1174962799 Active

Practice location

465 Summerhaven Dr, Suite 1-A
Debary, FL 32713-5211

Fax (407) 788-3075

Mailing address

1405 Hearthstone Ln
Longwood, FL 32750-3343

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW5546 (FL)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174962799

Charles Miceli, MSW, LCSW's National Provider Identifier is 1174962799, issued on Jun 17, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Debary, FL. The record was last updated on Jun 17, 2013.