Individual provider Active NPI

Chelsea Moccio, LMSW

  • Clinical Social Worker
  • Amityville, NY
National Provider Identifier
1922598051
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092984 Issued in NY
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

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
092984NYMDClinical Social Worker
099025NYMDClinical 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.

Verify at the official NPI Registry.