Individual provider Active NPI

Veronica Miele, LCSW

  • Clinical Social Worker
  • Sylmar, CA
National Provider Identifier
1538539689
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW88258 Issued in CA
Practice address
16350 Filbert St
Sylmar, CA 91342-1002
Phone
(213) 334-9215
NPI assigned
Oct 1, 2015
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW88258 CA Primary

Addresses

Primary practice location

16350 Filbert St
Sylmar, CA 91342-1002

Mailing address

2140 N Hollywood Way Unit 11536
Burbank, CA 91510-8198
Phone (818) 669-0428

Other practice location 1

1201 S Victory Blvd
Unit 206
Burbank, CA 91502-2552
Phone (818) 669-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221000247 CA Practitioner - Clinical Social Worker 1951713734 Practice locations: Burbank, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW88258CAMDClinical Social Worker
88258CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1538539689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N HOLLYWOOD WAY UNIT 11536",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915108198",
            "telephone_number": "818-669-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16350 FILBERT ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421002",
            "telephone_number": "213-334-9215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S VICTORY BLVD",
            "address_2": "UNIT 206",
            "address_purpose": "LOCATION",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022552",
            "country_code": "US",
            "telephone_number": "818-669-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIELE",
        "first_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW88258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.