Individual provider Active NPI

Melissa E. McCauley

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1033544077
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107158001 Issued in NY
Practice address
95 Allens Creek Rd Ste 206
Rochester, NY 14618-3250
Phone
(585) 441-0702
Fax
(585) 877-0182
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107158001 NY Primary

Addresses

Primary practice location

95 Allens Creek Rd Ste 206
Rochester, NY 14618-3250

Mailing address

95 Allens Creek Rd Ste 206
Rochester, NY 14618-3250
Phone (585) 441-0702

Other identifiers 1

IdentifierTypeStateIssuer
06385868MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107158001NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1033544077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK RD STE 206",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183250",
            "telephone_number": "585-441-0702",
            "fax_number": "585-877-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK RD STE 206",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183250",
            "telephone_number": "585-441-0702",
            "fax_number": "585-877-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "MELISSA",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "107158001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06385868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.