Individual provider · Type 1 NPI

Kyle Nicholas Miceli, MSW, LCSW, CSSW

Clinical Social Worker · Mount Laurel, NJ

NPI number 1689268625 Active

Practice location

3110 Route 38
Mount Laurel, NJ 08054-9724

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X16485 (SC)
Clinical Social Worker Primary 1041C0700X44SC05968900 (NJ)

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 1689268625

Kyle Nicholas Miceli, MSW, LCSW, CSSW's National Provider Identifier is 1689268625, issued on Feb 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Laurel, NJ. The record was last updated on Jan 18, 2024.