Individual provider Active NPI

Michelle L. Delevante, LCSW

  • Clinical Social Worker
  • West Babylon, NY
National Provider Identifier
1871633057
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075960 Issued in NY
Practice address
170 Little East Neck Rd
Suite 2
West Babylon, NY 11704
Phone
(631) 482-8010
Fax
(631) 482-8012
NPI assigned
Feb 7, 2007
Last updated
Feb 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075960 NY Primary

Addresses

Primary practice location

170 Little East Neck Rd
Suite 2
West Babylon, NY 11704

Mailing address

170 Little East Neck Rd
Suite 2
West Babylon, NY 11704-7742
Phone (631) 482-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 28, 2025 through Oct 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tal Mednick MD PC PastSince Apr 23, 2023 Accepting new patients

Organizations & group practices 1

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1871633057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "address_2": "SUITE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047742",
            "telephone_number": "631-482-8010",
            "fax_number": "631-482-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LITTLE EAST NECK RD",
            "address_2": "SUITE 2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-482-8010",
            "fax_number": "631-482-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEVANTE",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.