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KERI MICA LCSW PC
NPI 1053502518
Social Worker - Clinical in Rockville Centre, NY

Active since August 08, 2007
176 N VILLAGE AVE, SUITE 2E, ROCKVILLE CENTRE, NY 11570(516) 410-7138(516) 679-0736 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keri Mica Lcsw Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERI MICA LCSW PC (NPI 1053502518) is a healthcare organization registered as a clinical in Rockville Centre, New York and active in the NPI registry since August 2007. The organization lists Keri Lynn Mica-suttmiller, President, as its authorized official.

NPPES Registry Identity

NPI1053502518
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKERI MICA LCSW PC
Location Address176 N VILLAGE AVE, SUITE 2ERockville Centre, NY 11570-3800
Mailing Address111 Hart StreetLynbrook, NY 11563-1760 · (516) 410-7138 · Fax (516) 679-0736
Phone(516) 410-7138
Fax(516) 679-0736
Organization SubpartNo
Authorized OfficialKeri Lynn Mica-suttmillerPresident · (516) 410-7138
Enumeration DateAugust 8, 2007
✔ NPI 1053502518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
176 N VILLAGE AVE, Rockville Centre, NY 11570
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Other Identifiers 3

Medicare UPINQ62025NY
Medicare OSCAR/certificationN38T61NY
Medicaid02735202NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK FLUGMAN M.D.
Ophthalmology
176 N VILLAGE AVE, SUITE # 2A
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-6400
LEWIS BRESLAU AUD
Audiologist
176 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 678-1804
MARK FLUGMAN, M.D., P.C.
Ophthalmology
176 N VILLAGE AVE, SUITE # 2A
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-6400
QIAO ZHANG M.D.
Anesthesiology
176 N VILLAGE AVE, 2D
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 705-1200
CLARA MAYORAL MD
Specialist
176 N VILLAGE AVE, SUITE 1D
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-4094
DR. SASSAN MOHTADI MD
Anesthesiology
176 N VILLAGE AVE, SUITE 2D
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 764-2115
STEPHEN HIRSCH, M.D., P.C.
Urology
176 N VILLAGE AVE, 1C
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-0404
MR. RICHARD JAMES SCALISE OTR, CHT
Occupational Therapist (Hand)
176 N VILLAGE AVE, SUITE 2C
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 255-4263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keri Mica Lcsw PC's NPI number?

The NPI number for Keri Mica Lcsw PC is 1053502518. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Keri Mica Lcsw PC located?

Keri Mica Lcsw PC is located at 176 N Village Ave Suite 2E, Rockville Centre, NY 11570. The listed phone number is (516) 410-7138.

What is Keri Mica Lcsw PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keri Mica Lcsw PC was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.