Individual
MRS. ANGELINA MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
90 POST RD W, WESTPORT, CT 06880
(203) 227-7644
Mailing address
90 POST RD W, WESTPORT, CT 06880-4208
(203) 227-7644
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1961
CT
1041C0700X
Clinical Social Worker
Primary
10046
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008077521
—
CT
Enumeration date
06/24/2016
Last updated
10/26/2021
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