Dominic V Micalizzi, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

120336 Issued in NY

Practice address

3001 E Main St
Endicott, NY 13760-5843

Phone

(607) 754-2660

Fax

(607) 754-0769

NPI assigned

Nov 3, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Samaritan Counseling Center of the Southern Tier Inc

  • Mental Health Counselor
  • Endicott, NY
  • NPI 1467520080
  NPD
• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  NPD (past)

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1811604333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E MAIN ST",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605843",
            "telephone_number": "607-754-2660",
            "fax_number": "607-754-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605843",
            "telephone_number": "607-754-2660",
            "fax_number": "607-754-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICALIZZI",
        "first_name": "DOMINIC",
        "middle_name": "V",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "120336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth McNamara, RN
• Priscilla McPherson
• Meals on Wheels of Western Broome, Inc.
• Chariese Ann Medlar, DPT
• Phoebe Meier, LMSW
• Christina Mihalik-Kontogiannis, MT-BC
• Mindful Health & Wellness, LLC
• Mindful Health Wellness Psychology PLLC
• Emily Louise Miner, BCBA, LBA
• Thomas Steven Mitchell, LMSW

• Social Worker in Endicott, NY
• Providers in Endicott, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.