Individual provider Active NPI

Thomas Michael Pica, MSW, LCSW, CASAC 2

  • Clinical Social Worker
  • Melville, NY
National Provider Identifier
1922640382
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099299 Issued in NY
Practice address
25 Melville Park Rd Ste 110B
Melville, NY 11747-3182
Phone
(631) 371-4305
NPI assigned
Oct 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X 113782 NY
School Social Worker 1041S0200X 099299 NY
Clinical Social Worker 1041C0700X 099299 NY Primary

Addresses

Primary practice location

25 Melville Park Rd Ste 110B
Melville, NY 11747-3182

Mailing address

203 Smith Ave
Holbrook, NY 11741-1150
Phone (631) 923-7431

Other practice location 1

3408 Park Ave
Wantagh, NY 11793-3702
Phone (516) 221-2123

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
113782NYMDSocial Worker
099299NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lager LCSW, PC Clinical CurrentSince Mar 1, 2022 Accepting new patients
Momentum Counseling Services LCSW, PLLC Clinical CurrentSince Mar 1, 2025 Accepting new patients
Thomas M. Pica, Inc. Social Worker CurrentSince Jan 12, 2025 Accepting new patients

Locations

25 Melville Park Rd
Ste 110B
Melville, NY 11747
Phone (631) 371-4305

3408 Park Ave
Wantagh, NY 11793
Phone (516) 221-2123

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1922640382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SMITH AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411150",
            "telephone_number": "631-923-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MELVILLE PARK RD STE 110B",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473182",
            "telephone_number": "631-371-4305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3408 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117933702",
            "country_code": "US",
            "telephone_number": "516-221-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICA",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, CASAC 2",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113782",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "099299",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.