Individual provider Active NPI

Melissa Petrone, LCSW

  • Mental Health Counselor
  • Caldwell, NJ
National Provider Identifier
1578225348
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
507 Bloomfield Ave Apt 2F
Caldwell, NJ 07006-5413
Phone
(848) 468-7115
NPI assigned
Oct 9, 2021
Last updated
Oct 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

507 Bloomfield Ave Apt 2F
Caldwell, NJ 07006-5413

Mailing address

507 Bloomfield Ave Apt 2F
Caldwell, NJ 07006-5413
Phone (848) 468-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230807002349 NJ Practitioner - Clinical Social Worker 7214398247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers New Jersey Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mariam Rothfritz PHD and AssociatesGroup PAC ID 9032502331, 8 clinicians

Practice addresses (Care Compare)

1135 Clifton Ave
Suite 207
Clifton, NJ 07013-3643
Phone (973) 988-4241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mariam Rothfritz, PH.D. and Associates CurrentSince Jul 1, 2023 Accepting new patients

Locations

1135 Clifton Ave
Ste 207
Clifton, NJ 07013
Phone (973) 473-7692

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1578225348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BLOOMFIELD AVE APT 2F",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065413",
            "telephone_number": "848-468-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BLOOMFIELD AVE APT 2F",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065413",
            "telephone_number": "848-468-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONE",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.