Individual provider Active NPI

Michelle Angela Salvaggio, LCSW

  • Clinical Social Worker
  • Goshen, NY
National Provider Identifier
1619900222
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076604 Issued in NY
Practice address
1787 Route 17M
Goshen, NY 10924-2566
Phone
(718) 564-0781
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 076604 NY Primary

Addresses

Primary practice location

1787 Route 17M
Goshen, NY 10924-2566

Mailing address

11 Elizabeth St
Warwick, NY 10990-1005
Phone (718) 564-0781

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
I20140524000116 NY Practitioner - Clinical Social Worker 8022231851 Reassigns benefits to 1 organization
Practice locations: Goshen, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1787 Route 17M
Goshen, NY 10924-2566
Phone (718) 564-0781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076604NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Community Living , Inc. CurrentSince May 1, 2013 Accepting new patients
Orange County Center for Family LLC Clinical PastSince Oct 23, 2022 Accepting new patients
Michelle Angela Salvaggio Clinical PastSince Jun 10, 2015 Accepting new patients

Locations

484 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 290-8100

1310 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 257-3400

125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927

Organizations & group practices 3

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1619900222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ELIZABETH ST",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901005",
            "telephone_number": "718-564-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 ROUTE 17M",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242566",
            "telephone_number": "718-564-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVAGGIO",
        "first_name": "MICHELLE",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.