Michael Mellett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

099799 Issued in NY

Practice address

22 4TH Ave Apt 2F
Nyack, NY 10960-2130

Phone

(516) 606-5208

NPI assigned

Dec 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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.

• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Social Worker

  NPD

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1083374557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 4TH AVE APT 2F",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602130",
            "telephone_number": "516-606-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 4TH AVE APT 2F",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602130",
            "telephone_number": "516-606-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLETT",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108113",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre McLary, IBCLC
• Nadine E McManus, PA-C
• Matthew McSorley, M.S.ED., LP-MHC
• Prem S. Mehta, MD
• Valerie Jean Mele, M.S.
• Susan Melnick, LCSW
• Boris Melnikau, M.D.
• Lois Mergentime, LCSW
• Jonathan Meyer, LCSW
• Rebecca Meyerson, MS

• Clinical Social Worker in Nyack, NY
• Providers in Nyack, 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 Mar 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.