Nicole Menna, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18264 Issued in FL

Practice address

7550 60TH Way N
Pinellas Park, FL 33781-3216

Phone

(631) 372-1561

NPI assigned

May 2, 2016

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1356796908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 4TH AVE S UNIT 118",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014388",
            "telephone_number": "631-372-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 60TH WAY N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813216",
            "telephone_number": "631-372-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNA",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083583",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Algis Albert Meilus, SPECIALIST
• Alexa Meitz, APRN
• Nancy Sue Meixner, M.S., LCPC, LMHC
• Melissa M. Marciano
• Richard C Mendel, MD
• Merissa Ann Meredith
• Bethany Leah Merrill, APRN
• Mikaela Messenger
• Metcare of Florida Inc.
• Metro Treatment of Florida, LP

• All providers in Pinellas Park, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.