Melissa Thoen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088284 Issued in NY

Practice address

936 Broadway FL 2
New York, NY 10010-8104

Phone

(212) 879-4900

Fax

(212) 774-0206

NPI assigned

May 31, 2016

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

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

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.

• Ackerman Institute for the Family

  • Marriage & Family Therapist
  • New York, NY
  • NPI 1467505792
  NPD (past)
• Ackerman Institute for the Family

  • Case Management Agency
  • New York, NY
  • NPI 1740680511
  NPD (past)

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1124476247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106013",
            "telephone_number": "212-879-4900",
            "fax_number": "212-774-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108104",
            "telephone_number": "212-879-4900",
            "fax_number": "212-774-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 W 25th St Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017470",
            "country_code": "US",
            "telephone_number": "212-335-2100",
            "fax_number": "646-775-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOEN",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark L Thiry, LMT
• Jill Thistlethwaite, PH.D.
• Arcot Kandaswamy Thiyagarajan, B.S. (PHARMACY)
• THL Acupuncture PC
• Lauren G Thoelen, FNP-BC
• Crystal Tholany
• Kanesha Althea Thom
• Lily Anna Thom, PHD
• Jaclyn Marie Thoma, MD
• Lauren Park Thoma, MD

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Feb 2, 2021; 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.