Bethany Rose Merlucci, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

081724 Issued in NY

Practice address

1 Elaine PL
Islandia, NY 11749-1566

Phone

(631) 630-3915

NPI assigned

Aug 2, 2011

Last updated

Jan 26, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1063790418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELAINE PL",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491566",
            "telephone_number": "631-630-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELAINE PL",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491566",
            "telephone_number": "631-630-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLUCCI",
        "first_name": "BETHANY",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Meehan, M.D
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• Social Worker in Islandia, NY
• Providers in Islandia, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.