Provider Demographics
NPI:1770623175
Name:MIELE, MARGARET L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:L
Last Name:MIELE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 EDGECLIFF RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1112
Mailing Address - Country:US
Mailing Address - Phone:973-744-6122
Mailing Address - Fax:
Practice Address - Street 1:510 MORRIS AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-1506
Practice Address - Country:US
Practice Address - Phone:908-277-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002973001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical