Jennifer Melli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R078248-1 Issued in NY

Practice address

520 Franklin Ave Ste 201B
Garden City, NY 11530-5815

Phone

(631) 766-0123

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1720179187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 201B",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305815",
            "telephone_number": "631-766-0123",
            "fax_number": "516-221-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FRANKLIN AVE STE 201B",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305815",
            "telephone_number": "631-766-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2146 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "NY",
            "postal_code": "117832606",
            "country_code": "US",
            "telephone_number": "516-221-3030",
            "fax_number": "516-221-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLI",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R078248-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Mehl
• Raymond F. Mehlman, D.M.D.
• Kunal Pradip Mehta, MD
• Neil Rajiv Sailesh Mehta, MD
• Angela Melkonian, MA SLP CCC
• Brett C Mellinger, MD
• Laura Elizabeth Melnick, M.D.
• Kristan Melo, PSYD
• Michael Eric Marquez Mencias, MD
• Michael Guy Mendelsohn, M.D.

• Clinical Social Worker in Garden City, NY
• Providers in Garden City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; 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.