Individual provider Active NPI

Michele Emilia Rosello, LCSW-R

  • Clinical Social Worker
  • Hewlett, NY
National Provider Identifier
1922371855
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074122-1 Issued in NY
Practice address
65 Prospect Avenue
9W
Hewlett, NY 11557
Phone
(516) 732-7476
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 074122-1 NY Primary

Addresses

Primary practice location

65 Prospect Avenue
9W
Hewlett, NY 11557

Mailing address

1017 Jefferson St
Baldwin, NY 11510-4744
Phone (516) 286-4620

Other identifiers 1

IdentifierTypeStateIssuer
N3O901OtherNYMEDICARE PART B

Other names 1

  • Mrs. Michele Emilia Sokolski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
074122-1NYMDClinical Social Worker
064634NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1922371855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 JEFFERSON ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104744",
            "telephone_number": "516-286-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PROSPECT AVENUE",
            "address_2": "9W",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "11557",
            "telephone_number": "516-732-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLO",
        "first_name": "MICHELE",
        "middle_name": "EMILIA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074122-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "N3O901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "SOKOLSKI",
            "middle_name": "EMILIA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.