Melissa Merlino, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090824 Issued in NY

Practice address

131 County House Rd Ste 101
Millbrook, NY 12545-6178

Phone

(845) 605-3604

Fax

(845) 605-1139

NPI assigned

Nov 10, 2017

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access: Supports for Living Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1528174976
  Medicare reassignment NPD
• Access: Supports for Living Inc

  • Community/Behavioral Health Agency
  • Middletown, NY
  • NPI 1215122361
  NPD
• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1447763545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COUNTY HOUSE RD STE 101",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456178",
            "telephone_number": "845-605-3604",
            "fax_number": "845-605-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COUNTY HOUSE RD STE 101",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456178",
            "telephone_number": "845-605-3604",
            "fax_number": "845-605-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLINO",
        "first_name": "MELISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099531-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Sue Marr, M.S. CCC, SLP
• Drew William Matsen, DPT
• Megan E Matsen, DPT
• Ciara Eilis McIlvenny, DPT
• Dianne Amanda McNeil, RN; ANP
• Millbrook Central School District
• Millbrook Chiropractic Office LLC
• Millbrook Family Chiropractic, PC
• Millbrook Family Eyecare, Inc
• Millbrook Medical Practice PC

• Clinical Social Worker in Millbrook, NY
• Providers in Millbrook, 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 Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.