Melanie Lynn Brodsky, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Northport, NY
NPI 1164538997 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1164538997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 075519-1 (NY)
- Practice address
- 79 Middleville Road
VA Medical Center Northport
Northport, NY 11768 - Phone
- (631) 261-4400
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075519-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 075519-1 | NY | Yes |
Addresses
Primary practice location
79 Middleville Road
VA Medical Center Northport
Northport, NY 11768
Mailing address
79 Middleville Road
VA Medical Center Northport
Northport, NY 11768
Phone (631) 261-4400
Other providers in Northport, NY
- Susan Lee Brenner
- Melvin Breshin
- Kristin Brien
- Elizabeth Brittman
- Colleen Anne Britton
- Wendy Maureen Brofman
- Eric Bruno
- Janine Buchanan
- Vivian Elizabeth Bugaoan
- Carole Buoniello
All providers in Northport, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.