Active NPI
Melissa Macko, LCSW
- Clinical Social Worker
- Commack, NY
National Provider Identifier
1144667528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079585
- Practice address
- 283 Commack Rd
Suite 100
Commack, NY 11725-6021 - Phone
- (914) 400-5199
- NPI assigned
- May 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079585 | NY | Primary |
Addresses
Primary practice location
283 Commack Rd
Suite 100
Commack, NY 11725-6021
Mailing address
283 Commack Rd
Suite 100
Commack, NY 11725-6021
Phone (914) 400-5199
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079585 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369526400000",
"number": "1144667528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 COMMACK RD",
"address_2": "SUITE 100",
"city": "COMMACK",
"state": "NY",
"postal_code": "117256021",
"telephone_number": "914-400-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 COMMACK RD",
"address_2": "SUITE 100",
"city": "COMMACK",
"state": "NY",
"postal_code": "117256021",
"telephone_number": "914-400-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKO",
"first_name": "MELISSA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-26",
"last_updated": "2013-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.