Melissa Massimo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076597 Issued in NY

Practice address

39 New Hampshire St
Long Beach, NY 11561-1316

Phone

(917) 331-8858

NPI assigned

Jan 29, 2018

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Bay Counseling LCSW PCGroup PAC ID 9335366392, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• South Bay Counseling, LCSW PC

  • Clinical Social Worker
  • Amityville, NY
  • NPI 1992112510
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1871091512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NEW HAMPSHIRE ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611316",
            "telephone_number": "917-331-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEW HAMPSHIRE ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611316",
            "telephone_number": "917-331-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIMO",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Martin, LAC
• Monica Alejandra Martinez, DDS
• Anabelle Macedo Martins
• Michelle Marturano
• Colleen Margaret Mascolo, LCSW
• Stephanie Marie Mattondo, M.S., OTR/L
• Eva Anne Matuszak, M.S.
• Mitchell Bryan Matza, RPH
• Paul Robert Mauro, LCSW, CASAC
• Henry Wise Mayo III, PHARMACIST

• Clinical Social Worker in Long Beach, NY
• Providers in Long Beach, 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 Jan 29, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.