Individual provider Active NPI

Naomie Joseph-Micliz, DSW, LCSW

  • Clinical Social Worker
  • Bordentown, NJ
National Provider Identifier
1447685748
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
45SC05702700 Issued in NJ
Practice address
231 Crosswicks Rd Ste 1
Bordentown, NJ 08505-2602
Phone
(856) 520-7147
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X NJ
Professional Counselor 101YP2500X NJ
Clinical Social Worker 1041C0700X 45SC05702700 NJ Primary

Addresses

Primary practice location

231 Crosswicks Rd Ste 1
Bordentown, NJ 08505-2602

Mailing address

231 Crosswicks Rd Ste 1
Bordentown, NJ 08505-2602
Phone (856) 520-7147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45SC05702700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Freedom Counseling LLC Mental Health Current Accepting new patients

Locations

3 3rd St
Ste 260
Bordentown, NJ 08505

231 Crosswicks Rd
Ste 1
Bordentown, NJ 08505
Phone (609) 379-6014

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1447685748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD STE 1",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "856-520-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CROSSWICKS RD STE 1",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052602",
            "telephone_number": "856-520-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH-MICLIZ",
        "first_name": "NAOMIE",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "45SC05702700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.