Active NPI
Madeline Rissa Micciche, LCSW-R
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1902118847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 072098-1
- Practice address
- 110 Allens Creek Rd
Rochester, NY 14618-3304 - Phone
- (585) 746-2191
- NPI assigned
- Jul 8, 2010
- 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 | 072098-1 | NY | Primary |
Addresses
Primary practice location
110 Allens Creek Rd
Rochester, NY 14618-3304
Mailing address
110 Allens Creek Rd
Rochester, NY 14618-3304
Phone (585) 746-2191
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072098-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1902118847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ALLENS CREEK RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183304",
"telephone_number": "585-746-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ALLENS CREEK RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183304",
"telephone_number": "585-746-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICCICHE",
"first_name": "MADELINE",
"middle_name": "RISSA",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "072098-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.