Individual provider Active NPI

Melissa Vliek

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1992029631
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO20074-1 Issued in NY
Practice address
175 Central Ave
5 TH Floor
Albany, NY 12206-2937
Phone
(518) 436-4462
Fax
(518) 436-4558
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO20074-1 NY Primary

Addresses

Primary practice location

175 Central Ave
5 TH Floor
Albany, NY 12206-2937

Mailing address

175 Central Ave
5 TH Floor
Albany, NY 12206-2937
Phone (518) 436-4462

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
I20181011000328 NY Order and Referring Only - Clinical Social Worker 4789936279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO20074-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1992029631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CENTRAL AVE",
            "address_2": "5 TH FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062937",
            "telephone_number": "518-436-4462",
            "fax_number": "518-436-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CENTRAL AVE",
            "address_2": "5 TH FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122062937",
            "telephone_number": "518-436-4462",
            "fax_number": "518-436-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLIEK",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO20074-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.