Individual provider Active NPI

Melech David Mann, MSW LISW EMDR

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1982067492
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095443 Issued in NY
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

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
095443OtherNYNEW YORK STATE BOARD OF CERTIFIED SOCIAL WORKERS
I.1800934OtherOHNATIONAL ASSOCIATION OF SOCIAL WORK (NASW)

Other names 1

  • Melech D Mann Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as group
Quality
80.43
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1800934OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Melech Mann LLC Clinical CurrentSince Jul 2, 2019 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.

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

Verify at the official NPI Registry.