Melinda Taryn Lupo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0800501 Issued in NY

Practice address

3016 31St Street
Suite #1a
Astoria, NY 11102

Phone

(216) 403-4903

Fax

(347) 935-3936

NPI assigned

May 13, 2009

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

Other names 1

• Melinda Taryn Bloom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Nyconfidential Behavioral Medicine PC

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1427349083
  NPD (past)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1306070776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WYCKOFF STREET #3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "216-403-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 31ST STREET",
            "address_2": "SUITE #1A",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11102",
            "telephone_number": "216-403-4903",
            "fax_number": "347-935-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "MELINDA",
        "middle_name": "TARYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0800501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "BLOOM",
            "middle_name": "TARYN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Erbe Lubrica
• Heather Lucic, MSED
• Corey Austin Lucius, FNP-BC
• Shaira Kaye Luna
• Julie Luongo, TSHH
• Philip Joseph Lupo, DPM
• Stacie Lurch, M.A
• Carole Peyra Luzentales, MS ED/SPED
• Maria Ly, RN
• Lynbrook Anesthesia Services, PC

• Clinical Social Worker in Astoria, NY
• Providers in Astoria, 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 Jan 20, 2015; 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.