Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003339508 Individual Practitioner Female Practitioner

Katherine Micetich , LMSW

Specialist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Katherine Micetich, LMSW is a registered healthcare professional specializing in Specialist in Bronx, NY. Practice services are available at 329 E 149TH ST FL 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

329 E 149th St Fl 4

Bronx, NY 104515626

Telephone 7187692698
Associated Practice Facility / Clinic
🏢 City Pro Group, Inc. Facility NPI 1265676092

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
863 Specialists

Practicing in Bronx, NY (23296 Statewide)

Telehealth Adoption Rate
1.0% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
252Y00000X (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anna Markova , LMSW

Social Worker

NPI 1003056052

Licensed Master Social Worker

Katherine Canonico , MS, CCC-SLP, TSSLD

Speech-Language Pathologist

NPI 1003115791

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence), TSSLD

Joyce Lee

Specialist

NPI 1003167099
Yndira Acosta , MED

Behavior Analyst

NPI 1003179904

Master of Education

Vianca Acosta

Behavior Technician

NPI 1003347600
Beatrice Valentin

Behavior Technician

NPI 1003352600

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2017

Registered at 329 E 149TH ST FL 4, BRONX, NY 104515626 (Tel: 7187692698)

📍
Updated Business Mailing Address July 18, 2017

Registered at 3855 ORLOFF AVE APT LA, BRONX, NY 104632610

👤
Provider Name / Credentials Updated July 18, 2017

Recorded as KATHERINE MICETICH, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2017

Specialist

🟢
Initial NPI Registration & Enumeration July 18, 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: 1003339508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2017
Last Update: July 18, 2017
Sole Proprietor: No

Mailing Address

3855 Orloff Ave Apt La

Bronx, NY 104632610

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.