Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary A Miceli, LCSW

Individual provider Clinical Social Worker · NPI 1578617916

Mary A Miceli, LCSW is a Clinical Social Worker in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
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

174 3rd St
Staten Island, NY 10306-2210
Phone: (718) 668-2945
Fax: (718) 668-2945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R051448 (NY)

Record details

NPI number1578617916
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007

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