Individual provider Active NPI

Melissa A Sewruk, LCSW

  • School Social Worker
  • East Rochester, NY
National Provider Identifier
1639455058
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
079026 Issued in NY
Practice address
222 Woodbine Ave
East Rochester, NY 14445-1860
Phone
(585) 245-6335
Fax
(585) 248-6392
NPI assigned
Oct 31, 2011
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 079026 NY Primary

Addresses

Primary practice location

222 Woodbine Ave
East Rochester, NY 14445-1860

Mailing address

222 Woodbine Ave
East Rochester, NY 14445-1860
Phone (585) 245-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
079026NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1639455058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WOODBINE AVE",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144451860",
            "telephone_number": "585-245-6335",
            "fax_number": "585-248-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WOODBINE AVE",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "144451860",
            "telephone_number": "585-245-6335",
            "fax_number": "585-248-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWRUK",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "079026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.