Michael Anthony Iacovelli, L.M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

089076 Issued in NY

Practice address

11 Route 111
Smithtown, NY 11787-3739

Phone

(631) 920-8300

Fax

(631) 920-8460

NPI assigned

Aug 13, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Locations

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.

• Dynamic Counseling LCSW PC

  • Mental Health Counselor
  • Commack, NY
  • NPI 1457949562
  NPD
• Sunrise Counseling Center,LTD

  • Clinical Social Worker
  • East Islip, NY
  • NPI 1407871353
  NPD

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1245663293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 STRATFORD GRN",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352549",
            "telephone_number": "631-965-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873739",
            "telephone_number": "631-920-8300",
            "fax_number": "631-920-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOVELLI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Ann Humphrey
• Daniel Bryan Hurwitz, DPT
• Munira Mufaddal Husainy, MD
• Mya Milannie Hutchins
• Danielle Hyacinthe
• Rosa Maria Iadevaia, LCSW
• Ian Andrew Glaser DDS PC
• Sandra Joan Iannotti, M.D.
• Nicole Ierna
• Joseph Illari, P.T.

• Social Worker in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.