Individual provider Active NPI

Melissa Anne Cuoco, LCSW

  • Clinical Social Worker
  • Waterford, NY
National Provider Identifier
1487546974
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094647 Issued in NY
Practice address
53 Copperfield Dr
Waterford, NY 12188-1095
Phone
(518) 727-4451
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 094647 NY Primary

Addresses

Primary practice location

53 Copperfield Dr
Waterford, NY 12188-1095

Mailing address

53 Copperfield Dr
Waterford, NY 12188-1095
Phone (518) 727-4451

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251024001660 NY Practitioner - Clinical Social Worker 1153819750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life NJ PAGroup PAC ID 8921549551, 13 clinicians

Practice addresses (Care Compare)

136 Madison Ave
FL 6
New York, NY 10016-6795
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
094647NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life NJ P.a. CurrentSince Sep 1, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

136 Madison Ave
Fl 6
New York, NY 10016
Phone (917) 582-6622

Organizations & group practices 1

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1487546974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 COPPERFIELD DR",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121881095",
            "telephone_number": "518-727-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COPPERFIELD DR",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121881095",
            "telephone_number": "518-727-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUOCO",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, NY

Sources for this page

Verify at the official NPI Registry.