Active NPI
Melissa Goldsmith, LMSW, CCLS
- Social Worker
- Sleepy Hollow, NY
National Provider Identifier
1154068336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 067163
- Practice address
- 245 N Broadway
Sleepy Hollow, NY 10591-2670 - Phone
- (917) 572-3417
- NPI assigned
- May 18, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 067163 | NY | Primary |
Addresses
Primary practice location
245 N Broadway
Sleepy Hollow, NY 10591-2670
Mailing address
3 Highland Ave
Sleepy Hollow, NY 10591-1405
Phone (917) 572-3417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 16, 2023 through Nov 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067163 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1154068336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HIGHLAND AVE",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105911405",
"telephone_number": "917-572-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N BROADWAY",
"city": "SLEEPY HOLLOW",
"state": "NY",
"postal_code": "105912670",
"telephone_number": "917-572-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "MELISSA",
"credential": "LMSW, CCLS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "067163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sleepy Hollow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.