Active NPI
Joelle Dimicele, LCSW
- Clinical Social Worker
- Milford, VA
National Provider Identifier
1740058700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904015955
- Practice address
- 20500 Warriors Way
Milford, VA 22514-2867 - Phone
- (404) 275-3664
- NPI assigned
- Dec 19, 2023
- Last updated
- Dec 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904015955 | VA | Primary |
Addresses
Primary practice location
20500 Warriors Way
Milford, VA 22514-2867
Mailing address
16611 Accolon CT
Dumfries, VA 22025-3130
Phone (404) 275-3664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1740058700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16611 ACCOLON CT",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220253130",
"telephone_number": "404-275-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20500 WARRIORS WAY",
"city": "MILFORD",
"state": "VA",
"postal_code": "225142867",
"telephone_number": "404-275-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMICELE",
"first_name": "JOELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904015955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, VA
- David John Coe
- Commonwealth of Virginia State Board of Health (Caroline County Health Department)
- Commonwealth of Virginia State Board of Health (Caroline Dental)
- Claire-Madeline Corso
- Neumiro Dasilva
- Kathleen Habig, CSAC
- Angela B Kelchner, CSAC
- Jennifer M. Meade, PSYD
- Michael N Trahos DDS LTD
- Monroe Ambulatory Care Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.