Individual provider · Type 1 NPI

Mark Miceli, MSW

Clinical Social Worker · Longwood, FL

NPI number 1487306643 Active

Practice location

455 W Warren Ave
Longwood, FL 32750-4038

Fax (407) 834-5011

Other practice locations

  • 16830 Wingspread Loop, Winter Garden, FL 34787-9550 · (617) 388-6912

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW19414 (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 1487306643

Mark Miceli, MSW's National Provider Identifier is 1487306643, issued on Jan 19, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Longwood, FL. The record was last updated on Apr 11, 2023.