Individual provider Active NPI

Melissa Siegel, LCSW

  • Clinical Social Worker
  • Plainview, NY
National Provider Identifier
1700446499
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087829 Issued in NY
Practice address
1120 Old Country Rd Ste 305
Plainview, NY 11803-5021
Phone
(516) 469-3495
NPI assigned
Jun 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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 087829 NY Primary

Addresses

Primary practice location

1120 Old Country Rd Ste 305
Plainview, NY 11803-5021

Mailing address

1621 Jefferson Ave
West Islip, NY 11795-1714

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
I20230607000360 NY Practitioner - Clinical Social Worker 4789041773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brittni Traina, LCSW PLLCGroup PAC ID 9537535554, 10 clinicians

Practice addresses (Care Compare)

2050 N Country Rd
Wading River, NY 11792-1634
Phone (631) 379-5637

39 Forest Ave
Glen Cove, NY 11542-2107
Phone (631) 379-5637

53 Franklin Ave
Lynbrook, NY 11563-1237
Phone (631) 379-5637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087829NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brittni Traina, LCSW, PLLC Clinical CurrentSince May 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1560643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1700446499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 JEFFERSON AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 OLD COUNTRY RD STE 305",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035021",
            "telephone_number": "516-469-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-16",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.