Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mia Sarah Marchisello, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1457979403

Mia Sarah Marchisello, MS, CCC-SLP is a Qualified Speech Language Pathologist in Linwood, New Jersey. Qualified in 2018, 8 years ago. Practices with Atlantic Physical Therapy Center, a 117-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

314 Central Ave
Linwood, NJ 08221-2005
Phone: (609) 365-8499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14100313 (NJ)

Record details

NPI number1457979403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Atlantic Physical Therapy Center — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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