Individual provider Active NPI

Melissa Eisele-Kaplan, DHS, LCSW

  • Clinical Social Worker
  • Sleepy Hollow, NY
National Provider Identifier
1750193173
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078861-1 Issued in NY
Practice address
500 Bellwood Ave
Sleepy Hollow, NY 10591-1443
Phone
(917) 371-6914
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 078861-1 NY Primary

Addresses

Primary practice location

500 Bellwood Ave
Sleepy Hollow, NY 10591-1443

Mailing address

500 Bellwood Ave
Sleepy Hollow, NY 10591-1443
Phone (917) 371-6914

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
I20260608001890 NY Practitioner - Clinical Social Worker 4880165141 Practice locations: Sleepy Hollow, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Bellwood Ave
Sleepy Hollow, NY 10591-1443
Phone (917) 371-6914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078861-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1750193173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BELLWOOD AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911443",
            "telephone_number": "917-371-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BELLWOOD AVE",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911443",
            "telephone_number": "917-371-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISELE-KAPLAN",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DHS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.