MARY A MICELI LCSW
NPI 1578617916
Social Worker - Clinical in Staten Island, NY

Active since January 23, 2007
174 3RD STREET, STATEN ISLAND, NY 10306(718) 668-2945(718) 668-2945 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary A Miceli Lcsw NPPES

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

MARY A MICELI LCSW (NPI 1578617916) is an individual clinical provider in Staten Island, New York, licensed in New York (R051448) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1578617916
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY A MICELICredential: LCSW
Location Address174 3RD STREETStaten Island, NY 10306-2210
Mailing Address174 3rd StreetStaten Island, NY 10306-2210 · (718) 668-2945 · Fax (718) 668-2945
Fax(718) 668-2945
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1578617916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · R051448
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.
174 3RD STREET, Staten Island, NY 10306

Other Identifiers 3

Medicare ID-Type UnspecifiedNN9101NY
Other7700310Aetna
OtherP2409429Oxford

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 Mary Miceli's NPI number?

The NPI number for Mary Miceli is 1578617916. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Mary Miceli located?

Mary Miceli practices at 174 3rd Street, Staten Island, NY 10306. The listed phone number is (718) 668-2945.

What is Mary Miceli'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 Mary Miceli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.