Allison Michele Maccarello, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080243 Issued in NY

Practice address

4 Lenore CT
Port Jefferson Station, NY 11776-1711

Phone

(631) 456-1990

Fax

(631) 761-2910

NPI assigned

Feb 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1548628605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LENORE CT",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761711",
            "telephone_number": "631-456-1990",
            "fax_number": "631-761-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LENORE CT",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761711",
            "telephone_number": "631-456-1990",
            "fax_number": "631-761-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCARELLO",
        "first_name": "ALLISON",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sopheya Luckoo
• Sean Lynch, DPM
• Melissa Lynn, R.N.
• M & a Wellness Corporation
• M. H. Mandelbaum Orthotic & Prosthetic Services, Inc.
• Kumar Madom, MD
• Michael Magistro, ATC
• Danielle Maher, M.S.
• Kaitlyn Maiello-Buckley, NP
• Romeo Velasco Maloco Jr., OPTICIAN

• Clinical Social Worker in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 4, 2016; 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.