Individual provider Active NPI

Gabriela Melillo

  • Clinical Social Worker
  • Latham, NY
National Provider Identifier
1689370009
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098964 Issued in NY
Practice address
839 New Loudon Rd
Latham, NY 12110-6101
Phone
(518) 217-2751
NPI assigned
Feb 7, 2023
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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 098964 NY Primary
Clinical Social Worker 1041C0700X 102976 NY

Addresses

Primary practice location

839 New Loudon Rd
Latham, NY 12110-6101

Mailing address

839 New Loudon Rd
Latham, NY 12110-6101
Phone (518) 217-2751

Other identifiers 1

IdentifierTypeStateIssuer
11111OtherNONE

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
I20250710003670 NY Practitioner - Clinical Social Worker 6406360395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy LCSW Counseling Services PCGroup PAC ID 5193966166, 7 clinicians

Practice addresses (Care Compare)

6 Chelsea PL
Clifton Park, NY 12065-3216
Phone (844) 253-4229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098964NYMDClinical Social Worker
102976NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy LCSW Counseling Services PC Clinical CurrentSince May 9, 2025 Accepting new patients
Gabriela Melillo, LCSW, PLLC Clinical CurrentSince Mar 1, 2025 Accepting new patients
Tabitha Sieloff LCSW PLLC Clinical PastSince Feb 1, 2023 Accepting new patients

Locations

6 Automation Ln
Albany, NY 12205
Phone (518) 217-2751

6 Chelsea Pl
Clifton Park, NY 12065
Phone (518) 383-1230

855 Route 146
Ste 235
Clifton Park, NY 12065
Phone (844) 253-4229

839 New Loudon Rd
Latham, NY 12110
Phone (518) 783-7932

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, 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": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1689370009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121106101",
            "telephone_number": "518-217-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121106101",
            "telephone_number": "518-217-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELILLO",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098964",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "11111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.