Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Nicholas Miceli, MSW, LCSW, CSSW

Individual provider Clinical Social Worker · NPI 1689268625

Kyle Nicholas Miceli, MSW, LCSW, CSSW is a Clinical Social Worker in Mount Laurel, New Jersey. Qualified in 2018, 8 years ago. Practices with Minuteclinic Diagnostic of New Jersey LLC, a 114-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and South Carolina.

Years since qualifying
8
Licensed in
NJ, SC
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3110 Route 38
Mount Laurel, NJ 08054-9724
Phone: (856) 235-7126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05968900 (NJ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 16485 (SC)

Record details

NPI number1689268625
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LCSW , CSSW
Sole proprietorNo
NPI enumeratedFebruary 21, 2021
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address3110 Route 38, Mount Laurel, NJ 08054-9724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Minuteclinic Diagnostic Of New Jersey Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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