National Provider Identifier
Madeline Rissa Micciche, LCSW-R
Madeline Rissa Micciche, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 746-2191.
Profile Overview
- NPI
- 1902118847
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 08, 2010
- Last Updated
- July 08, 2010
Practice Location
- 110 Allens Creek RD
- Rochester, NY 14618-3304
Phone: (585) 746-2191
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1902118847
- Entity Type
- Individual
- Last Name
- Micciche
- First Name
- Madeline
- Middle Name
- Rissa
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 110 Allens Creek RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3304
- Mailing Country
- US
- Mailing Phone
- (585) 746-2191
- Practice Street Address
- 110 Allens Creek RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3304
- Practice Country
- US
- Practice Phone
- (585) 746-2191
- Enumeration Date
- July 08, 2010
- Last Updated
- July 08, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)