Individual provider Active NPI

Charlot Melissa Rosario, LCSW, MPA

  • Social Worker
  • Jackson Heights, NY
National Provider Identifier
1093857252
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
071676-1 Issued in NY
Practice address
91-14 37TH Avenue
Catholic Charities Behavioral Health Center
Jackson Heights, NY 11372
Phone
(718) 779-1600
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 071676-1 NY Primary

Addresses

Primary practice location

91-14 37TH Avenue
Catholic Charities Behavioral Health Center
Jackson Heights, NY 11372

Mailing address

179 Monroe St
2B
Brooklyn, NY 11216-1981
Phone (347) 446-3829

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140210000930 NY Practitioner - Clinical Social Worker 2668601808 Reassigns benefits to 2 organizations
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071676-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Dec 1, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Dec 30, 2013 Accepting new patients
Catholic Charities Neigborhood Services Past Accepting new patients

Locations

191 Joralemon St
Fl 11
Brooklyn, NY 11201

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

9114 37th Ave
Jackson Heights, NY 11372
Phone (718) 722-6001

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

Interoperability endpoints

  • Direct secure messaging: charlot.rosario.1@14448.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1093857252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 MONROE ST",
            "address_2": "2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161981",
            "telephone_number": "347-446-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-14 37TH AVENUE",
            "address_2": "CATHOLIC CHARITIES BEHAVIORAL HEALTH CENTER",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-779-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "CHARLOT",
        "middle_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "LCSW, MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071676-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.