Active NPI
Melissa Cool
- Social Worker
- St Johnsville, NY
National Provider Identifier
1225438187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 066224
- Practice address
- 5810 State Highway 29
St Johnsville, NY 13452-2412 - Phone
- (518) 568-5622
- NPI assigned
- Aug 28, 2014
- Last updated
- Aug 28, 2014
- 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 | 066224 | NY | Primary |
Addresses
Primary practice location
5810 State Highway 29
St Johnsville, NY 13452-2412
Mailing address
5810 State Highway 29
St Johnsville, NY 13452-2412
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 |
|---|---|---|---|
| 066224 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1225438187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 STATE HIGHWAY 29",
"city": "ST JOHNSVILLE",
"state": "NY",
"postal_code": "134522412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 STATE HIGHWAY 29",
"city": "ST JOHNSVILLE",
"state": "NY",
"postal_code": "134522412",
"telephone_number": "518-568-5622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOL",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "066224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Johnsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.