Eileen Mellor Siciliano, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R053336-1 Issued in NY

Practice address

50 Akerly Pond LN
Southold, NY 11971-3005

Phone

(516) 746-2972

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East End Geriatric & Adult Medicine PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Southold, NY
  • NPI 1851367304
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1013977057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAK LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772600",
            "telephone_number": "516-746-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AKERLY POND LN",
            "city": "SOUTHOLD",
            "state": "NY",
            "postal_code": "119713005",
            "telephone_number": "516-746-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 OGDEN AVE",
            "address_purpose": "LOCATION",
            "city": "EAST WILLISTON",
            "state": "NY",
            "postal_code": "115962414",
            "country_code": "US",
            "telephone_number": "516-746-2972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "EILEEN",
        "middle_name": "MELLOR",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053336-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P495339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Rudder, LMT
• Danielle Lee Ruquet, LMHC
• Saundra J Perry RPT PC
• Marcela I Schiappacasse, NP
• Myles K Schneider
• Christine Mary Silvestro
• Lloyd Simon, M.D.
• Jay P Slotkin, MD
• Mary Anne Soto, RN
• Southold Acupuncture & Massage Therapy PLLC

• Clinical Social Worker in Southold, NY
• Providers in Southold, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.