Amie A Melillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

011314 Issued in CT

Practice address

12 Curtis St Ste 21
Meriden, CT 06450-5900

Phone

(860) 637-1394

NPI assigned

Oct 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornell Scott Hill Health Corporation

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1902921380
  Medicare reassignment NPD
• Silver City Counseling, LLC

  • Marriage & Family Therapist
  • Meriden, CT
  • NPI 1821569625
  NPD (past)

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1790492874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GORHAM AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143904",
            "telephone_number": "203-410-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CURTIS ST STE 21",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505900",
            "telephone_number": "860-637-1394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Gorham Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065143904",
            "country_code": "US",
            "telephone_number": "203-410-1681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELILLO",
        "first_name": "AMIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medi-NP, LLC
• Medical Oncology & Hematology PC (Diagnostic Hematology Lab)
• Kelly Ann Meenan
• Dora Meiners, RN
• Ashleigh K Melchionno, LCSW
• Melissa Johnson Therapy, LLC
• Samantha Ghartey Mensah, APRN
• Meriden Adult and Children's PC
• Meriden Board of Education
• Meriden Care Center LLC (Silver Springs Care Center)

• Clinical Social Worker in Meriden, CT
• Providers in Meriden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.