Melissa Ifill, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079924 Issued in NY

Practice address

376 Tompkins Ave
Brooklyn, NY 11216-1706

Phone

(718) 749-3277

NPI assigned

Nov 11, 2008

Last updated

Dec 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melissa Ifill LCSW Counseling LLC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1558835272
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1245484708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 LITCHFIELD AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033439",
            "telephone_number": "718-749-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 TOMPKINS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161706",
            "telephone_number": "718-749-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1082 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112383091",
            "country_code": "US",
            "telephone_number": "718-749-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IFILL",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23450",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeanyi Chukwu Chuba Orakwue Obiakor M.D.P.C (AFAM Comprehensive Healthcare Medical Group)
• Bruno Ifebi
• Arthur O Ifem
• Jazman Mona Ifill
• Latoya Ifill
• Owen Fitzpatrick Ifill, MD
• Rachelle Ifill, NP
• Samantha Ifill, DDS
• Alla Ifraimov, M.S.P.T.
• Jennifer Toma Ifraimov

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.