Individual provider Active NPI

Melissa M Saponieri, LCSW

  • Clinical Social Worker
  • East Setauket, NY
National Provider Identifier
1184866865
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087517 Issued in NY
Practice address
6 Pak CT
East Setauket, NY 11733-3330
Phone
(631) 921-2975
NPI assigned
Mar 27, 2009
Reactivated
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 087517 NY Primary

Addresses

Primary practice location

6 Pak CT
East Setauket, NY 11733-3330

Mailing address

6 Pak CT
East Setauket, NY 11733-3330
Phone (631) 921-2975

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
I20190103000806 NY Practitioner - Clinical Social Worker 4688919160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2233 Nesconset Hwy
Suite 201
Lake Grove, NY 11755-1000
Phone (631) 921-2975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Psychological Care P.C. CurrentSince Jan 28, 2024 Accepting new patients
Visiting Counselors, LCSW, PLLC Clinical PastSince Nov 1, 2018 Accepting new patients

Locations

2233 Nesconset Hwy
Ste 201
Lake Grove, NY 11755
Phone (631) 786-8930

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1184866865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PAK CT",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333330",
            "telephone_number": "631-921-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PAK CT",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333330",
            "telephone_number": "631-921-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPONIERI",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "deactivation_date": "2012-01-26",
        "reactivation_date": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.