Individual provider Active NPI

Michelle Andrienne Popolo, LMSW

  • Social Worker
  • Central Islip, NY
National Provider Identifier
1386377737
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115074 Issued in NY
Practice address
320 Carleton Ave Ste 801
Central Islip, NY 11722-4506
Phone
(631) 234-7807
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 115074 NY Primary

Addresses

Primary practice location

320 Carleton Ave Ste 801
Central Islip, NY 11722-4506

Mailing address

320 Carleton Ave Ste 801
Central Islip, NY 11722-4506
Phone (631) 234-7807

Other names 1

  • Michelle Andrienne Cvetkovski-Popolo Other name

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
115074NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Just Kids Early Childhood Learning Center CurrentSince Aug 28, 2022 Accepting new patients
Just Kids Diagnostic and Treatment Center Inc PastSince Jul 10, 2022 Accepting new patients

Locations

35 Longwood Rd
Middle Island, NY 11953
Phone (631) 924-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21444/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1386377737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CARLETON AVE STE 801",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224506",
            "telephone_number": "631-234-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CARLETON AVE STE 801",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224506",
            "telephone_number": "631-234-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOLO",
        "first_name": "MICHELLE",
        "middle_name": "ANDRIENNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "115074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CVETKOVSKI-POPOLO",
            "middle_name": "ANDRIENNE",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.