Melissa Lillien, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080794-1 Issued in NY

Practice address

24302 Northern Blvd
Douglaston, NY 11362-1150

Phone

(718) 423-6200

NPI assigned

Oct 28, 2009

Sex

Female

Sole proprietor

Yes

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, NJ2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tenafly Psychiatric Associates LLCGroup PAC ID 1759345614, 10 clinicians

Jay Lawrence Friedman MD LLCGroup PAC ID 3476604844, 8 clinicians

Practice addresses (Care Compare)

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.

• Jay Lawrence Friedman, M.D., L.L.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1881829109
  Medicare reassignment Care Compare group NPD
• Tenafly Psychiatric Associates, L.L.C.

  • Psychiatry Physician
  • Tenafly, NJ
  • NPI 1821063835
  Medicare reassignment Care Compare group NPD
• Vantage Health System, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dumont, NJ
  • NPI 1518939917
  Medicare reassignment NPD
• Vantage Health System, Inc.

  • Community/Behavioral Health Agency
  • Englewood, NJ
  • NPI 1144354861
  NPD

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1619203577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARGARET CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241807",
            "telephone_number": "516-220-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 NORTHERN BLVD",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621150",
            "telephone_number": "718-423-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIEN",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0797091",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080794-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Allen Ledner, D.D.S.
• Aileen Leibman
• Lisa Ellen Lempel-Sander, L
• Iris Friedman Levine, LCSW
• Lex Psychological Services PC
• Little Neck Dental PC
• Tina Ellen Machnikoff, LCSW
• Juliana W. Mah, MA OTR/L
• Avery H. Maltz
• Polly Manikakis, MA., CCC-SLP

• Clinical Social Worker in Douglaston, NY
• Providers in Douglaston, 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 10, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.