Melissa Depaula-Mozilo, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

109618 Issued in NY

Practice address

99 Tulip Ave Ste 305
Floral Park, NY 11001-1974

Phone

(516) 317-1683

NPI assigned

Jul 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Sieden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1295343044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHEROKEE DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064933",
            "telephone_number": "347-819-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE STE 305",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011974",
            "telephone_number": "516-317-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2138 Wantagh Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117933941",
            "country_code": "US",
            "telephone_number": "516-317-1683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPAULA-MOZILO",
        "first_name": "MELISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "109618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SIEDEN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorothy S De Castro, R.N
• Ana M Dellorusso, MD
• Jennifer Rose Demaria
• Joanne P. Demartino-Sadowski, L.C.S.W.
• Camille Deorio, LCSW
• Megan Desarno
• Yolette Dessources
• Manpreet Dhillon, PAC
• Marcia Diffley
• Patricia M. Dillon, R.N.

• Social Worker in Floral Park, NY
• Providers in Floral Park, 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 Jul 17, 2020; 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.