Individual provider Active NPI

Melissa Cohen, LCSW

  • Clinical Social Worker
  • Bellport, NY
National Provider Identifier
1750829800
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092458 Issued in NY
Practice address
107 S Country Rd
Bellport, NY 11713-2523
Phone
(631) 286-2222
NPI assigned
Feb 9, 2017
Last updated
Jun 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099441 NY
Clinical Social Worker 1041C0700X Q1-0012487 DE
Clinical Social Worker 1041C0700X 092458 NY Primary

Addresses

Primary practice location

107 S Country Rd
Bellport, NY 11713-2523

Mailing address

107 S Country Rd
Bellport, NY 11713-2523
Phone (631) 286-2222

Other practice location 1

1545 Pulaski Hwy
Bear, DE 19701-1303
Phone (631) 286-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220209002162 NY Practitioner - Clinical Social Worker 2769875079 Reassigns benefits to 3 organizations
I20240802000587 DE Practitioner - Clinical Social Worker 2769875079 Reassigns benefits to 1 organization
I20241001004356 NJ Practitioner - Clinical Social Worker 2769875079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians

Practice addresses (Care Compare)

107 S Country Rd
Bellport, NY 11713-2523
Phone (866) 389-2727

307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as group
Quality
73.41
Improvement activities
40
Cost
81.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099441NYMDSocial Worker
Q1-0012487DEMDClinical Social Worker
092458NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Clinical CurrentSince Sep 5, 2024 Accepting new patients
Acute General Medical PLLC Clinical CurrentSince Jul 3, 2024 Accepting new patients
Medical Group of New York, P.C. Clinical CurrentSince Jun 29, 2022 Accepting new patients
Family Service League, Inc. CurrentSince Dec 16, 2021 Accepting new patients
Jennifer Ufko, LCSW, PLLC Clinical CurrentSince Oct 1, 2022 Accepting new patients

Locations

1545 Pulaski Hwy
Bear, DE 19701
Phone (302) 544-1395

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

111 Smithtown Byp
Ste 207
Hauppauge, NY 11788
Phone (631) 374-5815

90 Adams Ave
Hauppauge, NY 11788
Phone (631) 392-0081

55 Horizon Dr
Huntington, NY 11743
Phone (631) 396-2300

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1750829800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S COUNTRY RD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132523",
            "telephone_number": "631-286-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S COUNTRY RD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132523",
            "telephone_number": "631-286-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197011303",
            "country_code": "US",
            "telephone_number": "631-286-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099441",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012487",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

Verify at the official NPI Registry.