Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326560772 Individual Practitioner Female Practitioner

Carly Ann Licameli , MA, CCC-SLP

Speech-Language Pathologist • Nutley, NJ

Professional Overview & Biography Verified Profile Summary

Carly Licameli, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Nutley, NJ. Practice services are available at 108 CONOVER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 Conover Ave

Nutley, NJ 071103398

Telephone 9732048045
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Nutley, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
15 Specialists

Practicing in Nutley, NJ (4944 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NJ 14094243

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 07, 2017

NPI status registered as active in NPPES database

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Updated Practice Location July 07, 2017

Registered at 108 CONOVER AVE, NUTLEY, NJ 071103398 (Tel: (973) 204-8045)

📍
Updated Business Mailing Address July 07, 2017

Registered at 108 CONOVER AVE, NUTLEY, NJ 071103398 (Tel: 9732048045)

👤
Provider Name / Credentials Updated July 07, 2017

Recorded as CARLY LICAMELI, M.A., CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2017

Speech-Language Pathologist (License #14094243 in NJ)

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Initial NPI Registration & Enumeration July 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326560772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2017
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

108 Conover Ave

Nutley, NJ 071103398

Phone: 9732048045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.