Marconi Integrative Therapy, LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARCONI INTEGRATIVE THERAPY, LCSW PLLC

Practice address

511 Pulaski Rd Apt Suite
East Northport, NY 11731-2139

Phone

(631) 455-1884

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Marconi, LCSWNPI 1639738701

Title

Owner

Phone

(800) 426-6937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Marconi

  • Clinical Social Worker
  • East Northport, NY
  • NPI 1639738701
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1437962180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PULASKI RD APT SUITE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312139",
            "telephone_number": "631-455-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PULASKI RD APT SUITE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117312139",
            "telephone_number": "631-455-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCONI INTEGRATIVE THERAPY, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "MARCONI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-426-6937",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Vincent Mackey, PHARMD
• Janis Ann Maguirems, MS ED
• Karen Maher
• Linda Mary Malloy-Buonanno, O.T.
• Amanda Manfredo, PHARMD
• Melissa Marconi
• Gina Marie Marion
• Martin I Granoff MD PC
• Camille Martin
• Lisdalia R Martins

• Clinical Social Worker in East Northport, NY
• Providers in East Northport, 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 Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.