Individual provider Active NPI

Melissa Lynn Boyce, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1639406291
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R072483-1 Issued in NY
Practice address
625 Panorama Trail BLDG 2 Suite 200
Rochester, NY 14625
Phone
(585) 282-4383
Fax
(585) 241-1523
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072483-1 NY
Clinical Social Worker 1041C0700X R072483-1 NY Primary

Addresses

Primary practice location

625 Panorama Trail BLDG 2 Suite 200
Rochester, NY 14625

Mailing address

625 Panorama Trail BLDG 2 Suite 200
Rochester, NY 14625
Phone (585) 282-4383

Other practice location 1

224 Alexander St
Rochester, NY 14607-4000
Phone (585) 922-7206

Other practice location 2

1111 Elmwood Ave
Rochester, NY 14620-3005
Phone (585) 241-1922

Other practice location 3

25 Canterbury Rd Ste 314
Rochester, NY 14607
Phone (585) 282-4383

Other names 1

  • Melissa Lynn Ploettner Former name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072483-1NYMDClinical Social Worker
R072483-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1639406291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRAIL BLDG 2 SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "585-282-4383",
            "fax_number": "585-241-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRAIL BLDG 2 SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "585-282-4383",
            "fax_number": "585-241-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Alexander St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074000",
            "country_code": "US",
            "telephone_number": "585-922-7206",
            "fax_number": "585-922-7225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146203005",
            "country_code": "US",
            "telephone_number": "585-241-1922",
            "fax_number": "585-241-1523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Canterbury Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14607",
            "country_code": "US",
            "telephone_number": "585-282-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYCE",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072483-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R072483-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PLOETTNER",
            "middle_name": "LYNN",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.