MICHELLE CONELLI (NPI# 1467590828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467590828 |
| Entity Type | Individual |
| Full Name | MICHELLE CONELLI |
| Credential | L.M.F.T., L.C.S.W. |
| Practice Address |
5225 Rte 347 Ste 44 Port Jefferson Station NY 11776-2060 |
| Mailing Address |
63 Eastwood Rd Miller Place NY 11764-2107 |
| Practice Telephone | 6314033318 |
| Practice Fax Number | 6314763533 |
| Mailing Telephone | 6314742217 |
| Mailing Fax Number | 6316898428 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 073603 | NY | Behavioral Health & Social Service Providers |
| Street Address |
5225 RTE 347 STE 44 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114364809 | Peter S. Felpo | Dentist | 5225 Rte 347, Suite 52, Port Jefferson Station, NY 11776-2053 | 2013-06-04 |
| 1235433301 | Mark Edward Petruzzi | Acupuncturist | 5225 Rte 347, Port Jefferson Station, NY 11776-2053 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797234 | Ashley Samonte | Social Worker | 5225 Rte 347 Ste 44, Port Jefferson Station, NY 11776-2060 | 2018-10-27 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1154750131 | Sophie Blanco | Social Worker | 48 Piedmont Dr Apt 156b, Port Jefferson Station, NY 11776-1133 | 2013-11-11 |
| 1013343581 | Cynthia Marie Picone | Social Worker | 320 Broadway, Port Jefferson Station, NY 11776-2508 | 2013-09-17 |
| 1790053627 | Jennifer Elizabeth Crabbe | Social Worker | 40 Hooper St, Port Jefferson Station, NY 11776-3904 | 2011-12-06 |
| 1154639011 | Christine Stegman | Social Worker | 5225-46 Rt. 347, Port Jefferson Station, NY 11777 | 2010-09-14 |
| 1154982155 | Jessica Morgan | Social Worker | 1050 Hallock Ave Ste 4, Port Jefferson Station, NY 11776-1214 | 2019-06-21 |
| 1568991743 | Emily Domb | Social Worker | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | 2017-06-09 |
| 1780861526 | Maria Grazia Migliore | Social Worker | 1050 Hallock Ave, Port Jefferson Station, NY 11776-1214 | 2008-01-23 |
| 1801996178 | Stacey H. Leuci | Social Worker | 3 Premier Ct, Port Jefferson Station, NY 11776-3198 | 2006-09-25 |
| Find all providers in PORT JEFFERSON STATION | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.