Individual provider Active NPI

Melissa Sornik, LCSW

  • Clinical Social Worker
  • Sea Cliff, NY
National Provider Identifier
1073702676
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081204 Issued in NY
Practice address
267 Sea Cliff Ave
Ste. 5
Sea Cliff, NY 11579-1253
Phone
(516) 724-7100
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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 081204 NY Primary

Addresses

Primary practice location

267 Sea Cliff Ave
Ste. 5
Sea Cliff, NY 11579-1253

Mailing address

32 9TH Ave
Sea Cliff, NY 11579-1118
Phone (516) 724-7100

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
081204NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1073702676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 9TH AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791118",
            "telephone_number": "516-724-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 SEA CLIFF AVE",
            "address_2": "STE. 5",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791253",
            "telephone_number": "516-724-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORNIK",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.