Nathaniel Missonellie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05761600 Issued in NJ

Practice address

80 Barclay Shopping Ctr
Cherry Hill, NJ 08034-2114

Phone

(973) 271-5045

NPI assigned

Nov 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1619634144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3431",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080340332",
            "telephone_number": "973-271-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BARCLAY SHOPPING CTR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342114",
            "telephone_number": "973-271-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSONELLIE",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05761600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Miranda
• Therese Mirarchi, RPH
• Deann Mishler, LCSW
• Dolly Mishra, D.O.
• Anne Kathryn Misiura, MD
• Mitchell Brudno DMD LLC
• Mitchell C. Liss, Psy.D., LLC
• Dorothy Mitchell
• Marcus Mitchell
• Matthew S Mitchell, OTR/L

• Clinical Social Worker in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.