Individual provider Active NPI

Melanie Bellizzi, LCSW

  • Clinical Social Worker
  • Coventry, CT
National Provider Identifier
1891387304
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
012724 Issued in CT
Practice address
1153 Main St
Coventry, CT 06238-3115
Phone
(860) 940-9145
Fax
(860) 498-7025
NPI assigned
Feb 5, 2021
Last updated
Jan 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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 012724 CT Primary

Addresses

Primary practice location

1153 Main St
Coventry, CT 06238-3115

Mailing address

32 Daleville School Rd
Willington, CT 06279-2106
Phone (860) 940-9145

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230113002125 CT Practitioner - Clinical Social Worker 7315318169 Practice locations: Coventry, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1153 Main St
Coventry, CT 06238-3115
Phone (860) 940-9145

32 Daleville School Rd
Willington, CT 06279-2106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012724CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Bellizzi LLC Clinical CurrentSince Jan 19, 2025 Accepting new patients

Locations

1153 Main St
Coventry, CT 06238
Phone (860) 336-8148

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1891387304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DALEVILLE SCHOOL RD",
            "city": "WILLINGTON",
            "state": "CT",
            "postal_code": "062792106",
            "telephone_number": "860-940-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383115",
            "telephone_number": "860-940-9145",
            "fax_number": "860-498-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIZZI",
        "first_name": "MELANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "012724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, CT

Sources for this page

Verify at the official NPI Registry.