Melanie Marie Lugo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100478 Issued in NY

Practice address

107 River Park Dr
Liverpool, NY 13090-2841

Phone

(315) 303-2103

NPI assigned

Feb 9, 2021

Sex

Female

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

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  NY

  Medicare reassignment Care Compare group NPD
• Melanie'S Mindful Practice LMSW PC

  • Clinical Social Worker
  • Liverpool, NY
  • NPI 1215893912
  NPD Authorized official

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1265024434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIVER PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902841",
            "telephone_number": "315-303-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIVER PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902841",
            "telephone_number": "315-303-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 River Park Dr",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130902841",
            "country_code": "US",
            "telephone_number": "315-303-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUGO",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "100478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Joseph Longo, DDS DENTIST
• James A. Loomis, MD
• Kelly Lopez Miliano
• Donna Jeanne Lucente, LCSW-R
• Maria Lucia, D.D.S.
• Allison A Lyons, NP
• Candice Lyttle-Andersib
• Amy Mackey, CIT
• Lori Macnaughton
• Jennifer Lauren Macy, FNP

• Clinical Social Worker in Liverpool, NY
• Providers in Liverpool, 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 Jun 2, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.