Melissa Petrizzo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090753 Issued in NY

Practice address

20 W 2ND St
Ronkonkoma, NY 11779-3926

Phone

(631) 769-6098

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melissapetrizzo@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1346883139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 2ND ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793926",
            "telephone_number": "631-769-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 2ND ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117793926",
            "telephone_number": "631-769-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIZZO",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2021-04-30",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093471",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Perrotta, LPN
• Erika Charlotte Perry, RN
• Pet Drug Store Inc.
• Christine Marie Petras, PA
• Kaitlin M Petrillo, CLC
• Megan Cathleen Pettit, MS PT
• Emily Pfeuffer
• Patricia Ann Pfeuffer
• Alexandra Philippas
• Lauren Elizabeth Phillips, MA CCC-SLP

• Clinical Social Worker in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Apr 30, 2021; 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.