Individual provider Active NPI

Claudette E Lamelle, LMSW

  • Social Worker
  • Mount Vernon, NY
National Provider Identifier
1275816456
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
046416-1 Issued in NY
Practice address
10 Fiske PL
Suite 205
Mount Vernon, NY 10550-3205
Phone
(914) 664-0400
Fax
(914) 664-0404
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 046416-1 NY Primary

Addresses

Primary practice location

10 Fiske PL
Suite 205
Mount Vernon, NY 10550-3205

Mailing address

10 Fiske Place
Suite 205
Mt. Vernon, NY 10550
Phone (914) 664-0400

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

LicenseStateTypeSpecialty
046416-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Counseling Center Past Accepting new patients

Organizations & group practices 1

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1275816456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FISKE PLACE",
            "address_2": "SUITE 205",
            "city": "MT. VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-664-0400",
            "fax_number": "914-664-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FISKE PL",
            "address_2": "SUITE 205",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503205",
            "telephone_number": "914-664-0400",
            "fax_number": "914-664-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMELLE",
        "first_name": "CLAUDETTE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "046416-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.