Active NPI
Melissa Iacia John, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1427846617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112103
- Practice address
- 506 Lenox Ave
New York, NY 10037-1802 - Phone
- (212) 939-1975
- NPI assigned
- Apr 28, 2025
- Last updated
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 112103 | NY | Primary |
Addresses
Primary practice location
506 Lenox Ave
New York, NY 10037-1802
Mailing address
18305 Dunlop Ave PH
Saint Albans, NY 11412-1511
Phone (347) 701-3286
Other practice location 1
250 Skillman St
Brooklyn, NY 11205-1297
Phone (718) 787-1023 ext. 104
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112103 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1427846617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18305 DUNLOP AVE PH",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114121511",
"telephone_number": "347-701-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LENOX AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371802",
"telephone_number": "212-939-1975"
}
],
"practiceLocations": [
{
"address_1": "250 Skillman St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112051297",
"country_code": "US",
"telephone_number": "718-787-1023 x104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "MELISSA",
"middle_name": "IACIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "112103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.