Active NPI
Melissa Coello
- Clinical Social Worker
- Georgetown, TX
National Provider Identifier
1700374147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115170
- Practice address
- 129 Brody LN
Georgetown, TX 78626-2989 - Phone
- (516) 306-2930
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 115170 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 115327 | TX |
Addresses
Primary practice location
129 Brody LN
Georgetown, TX 78626-2989
Mailing address
129 Brody LN
Georgetown, TX 78626-2989
Phone (516) 306-2930
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
| License | State | Type | Specialty |
|---|---|---|---|
| 115170 | CA | MD | Clinical Social Worker |
| 115327 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1700374147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 BRODY LN",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786262989",
"telephone_number": "516-306-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 BRODY LN",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786262989",
"telephone_number": "516-306-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COELLO",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "115170",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "115327",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.