Active NPI
Chelsea Moccio, LMSW
- Clinical Social Worker
- Amityville, NY
National Provider Identifier
1922598051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 092984
- Practice address
- 201 Dixon Ave
Amityville, NY 11701-2832 - Phone
- (631) 782-6524
- NPI assigned
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 099025 | NY | |
| Clinical Social Worker | 1041C0700X | 092984 | NY | Primary |
Addresses
Primary practice location
201 Dixon Ave
Amityville, NY 11701-2832
Mailing address
55 Chestnut St
Massapequa, NY 11758-5121
Phone (516) 729-0980
Other practice location 1
116 Broadway
Amityville, NY 11701-2797
Phone (516) 743-8571
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
| License | State | Type | Specialty |
|---|---|---|---|
| 092984 | NY | MD | Clinical Social Worker |
| 099025 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1922598051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CHESTNUT ST",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585121",
"telephone_number": "516-729-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DIXON AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012832",
"telephone_number": "631-782-6524"
}
],
"practiceLocations": [
{
"address_1": "116 Broadway",
"address_purpose": "LOCATION",
"city": "Amityville",
"state": "NY",
"postal_code": "117012797",
"country_code": "US",
"telephone_number": "516-743-8571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOCCIO",
"first_name": "CHELSEA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "099025",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "092984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.