Melanie Pyke Hertzog, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R033176 Issued in NY

Practice address

114 Clinton St
Binghamton, NY 13905-2212

Phone

(607) 763-2724

NPI assigned

Jun 13, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Broome County

  • Skilled Nursing Facility
  • Vestal, NY
  • NPI 1750477923
  NPD (past)
• Broome County Mental Health Department

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Binghamton, NY
  • NPI 1629094065
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1831131663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 POPLAR HILL RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139016031",
            "telephone_number": "607-763-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CLINTON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052212",
            "telephone_number": "607-763-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZOG",
        "first_name": "MELANIE",
        "middle_name": "PYKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS (BC/BS)",
            "identifier": "000025736",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07300033176",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Beth Herlihy, MS, CCC/SLP
• Zarina M Hernandez-Schipplick, MD
• Sarah B Herrick
• Jaime Lynn Hersh, MS, CCC-SLP
• Brittany Herth, RN
• Mary Ann M Higgins, OTR/L
• Amine Hila, MD
• Brenda Ann Hill, RN
• Christine Hill, LMSW
• Douglas R. Hill, DMD

• Clinical Social Worker in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.