MEDICARE: AMELIA MISCIONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	119412	CA

General Provider Information

NPI Number	:	1023970084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMELIA MISCIONE

Provider Business Mailing Address
First Line	:	550 BLUMONT ST
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2356
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 BLUMONT ST
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2356
Country	:	US
Telephone Number	:	949-497-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2025
Last Update Date	:	11/28/2025

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Directions to “ AMELIA MISCIONE ” Practice Location

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