Active NPI
Melech David Mann, MSW LISW EMDR
- Clinical Social Worker
- Far Rockaway, NY
National Provider Identifier
1982067492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 095443
- Practice address
- 1032 Bay 24TH St
Far Rockaway, NY 11691-1802 - Phone
- (929) 278-0537
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1800934 | OH | |
| Clinical Social Worker | 1041C0700X | 095443 | NY | Primary |
Addresses
Primary practice location
1032 Bay 24TH St
Far Rockaway, NY 11691-1802
Mailing address
1032 Bay 24TH St
Far Rockaway, NY 11691-1802
Phone (929) 278-0537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095443 | Other | NY | NEW YORK STATE BOARD OF CERTIFIED SOCIAL WORKERS |
| I.1800934 | Other | OH | NATIONAL ASSOCIATION OF SOCIAL WORK (NASW) |
Other names 1
- Melech D Mann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230815004280 | NY | Practitioner - Clinical Social Worker | 5698002855 | Practice locations: Far Rockaway, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1032 Bay 24TH St
Far Rockaway, NY 11691-1802
Phone (929) 278-0537
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 80.43
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1800934 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melech Mann LLC | Clinical | Current | Accepting new patients |
Locations
797 Brighton Ave
Staten Island, NY 10301
Phone (718) 477-6900
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Staten Island, NY
- NPI 1083506125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1982067492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 BAY 24TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911802",
"telephone_number": "929-278-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 BAY 24TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911802",
"telephone_number": "929-278-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "MELECH",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MSW LISW EMDR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1800934",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE BOARD OF CERTIFIED SOCIAL WORKERS",
"identifier": "095443",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ASSOCIATION OF SOCIAL WORK (NASW)",
"identifier": "I.1800934",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELECH",
"last_name": "MANN",
"middle_name": "D",
"credential": "LSW LISW EMDR",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.