Active NPI
Melissa Willow, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1740595123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 067420
- Practice address
- 2728 Henry Hudson Pkwy Apt 34a
Bronx, NY 10463-4709 - Phone
- (917) 642-8149
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 067420 | NY | Primary |
Addresses
Primary practice location
2728 Henry Hudson Pkwy Apt 34a
Bronx, NY 10463-4709
Mailing address
2728 Henry Hudson Pkwy Apt 34a
Bronx, NY 10463-4709
Phone (917) 642-8149
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 |
|---|---|---|---|
| 067420 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1740595123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 HENRY HUDSON PKWY APT 34A",
"city": "BRONX",
"state": "NY",
"postal_code": "104634709",
"telephone_number": "917-642-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 HENRY HUDSON PKWY APT 34A",
"city": "BRONX",
"state": "NY",
"postal_code": "104634709",
"telephone_number": "917-642-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLOW",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "067420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.