MELANIE PYKE HERTZOG


Address: 114 Clinton St, Binghamton, NY 13905-2212
Phone: 6077632724

MELANIE PYKE HERTZOG (NPI# 1831131663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831131663
Entity Type Individual
Full Name MELANIE PYKE HERTZOG
Credential LCSW
Practice Address 114 Clinton St
Binghamton
NY 13905-2212
Mailing Address 143 Poplar Hill Rd
Binghamton
NY 13901-6031
Practice Telephone 6077632724
Mailing Telephone 6077632724
Enumeration Date 2006-06-13
Last Update Date 2014-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
R033176 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 07300033176 05
NY EXCELLUS (BC/BS) 000025736 01

Other Providers MELANIE HERTZOG

NPI Name Taxonomy Address Enumeration
1578772760 Melanie Kay Hertzog Occupational Therapist 2025 E Newport Ave, Milwaukee, WI 53211-2906 2007-05-22

Office Location

Street Address 114 CLINTON ST
City BINGHAMTON
State NY
Zip Code 13905-2212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821697251 Ashley Elizabeth Satterfield Nurse Practitioner 114 Clinton St, Binghamton, NY 13905-2212 2020-10-16
1902367592 Ashley Gray Psychologist 114 Clinton St, Binghamton, NY 13905-2212 2019-03-27
1326542838 Juanita Marie Delgado Registered Nurse 114 Clinton St, Binghamton, NY 13905-2212 2018-03-20
1720527401 Emina Mujic Social Worker 114 Clinton St, Binghamton, NY 13905-2212 2017-02-15
1659817708 Carrie Govas Social Worker 114 Clinton St, Binghamton, NY 13905-2212 2017-01-13
1578006524 Danita Williams Psychologist 114 Clinton St, Binghamton, NY 13905-2212 2016-11-23
1770031429 Sheena Fenescey Social Worker 114 Clinton St, Binghamton, NY 13905-2212 2016-09-12
1356794903 Michael P Ketzak Nurse Practitioner 114 Clinton St, Binghamton, NY 13905-2212 2016-07-19
1902278070 Heather Gordon Social Worker 114 Clinton St, Binghamton, NY 13905-2212 2015-10-28
1992177737 Casey Allen Social Worker 114 Clinton St, Binghamton, NY 13905-2212 2015-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689222820 Pamela K Wheaton Counselor 40 Front Sreet, Suite K, Binghamton, NY 13905 2019-08-30
1417422593 Justin William Arnold Massage Therapist 1235 Front St, Suite 4, Binghamton, NY 13905 2018-10-04
1366886632 Lalor Family Dental Pllc Dentist 1216 Upper Front Street, Binghamton, NY 13905 2013-04-17
1699015172 Radharani Mohanty Pediatrics 1 Ely Park Blvd - M4, Binghamton, NY 13905 2013-02-21
1710260344 Michelle L. Rease Registered Nurse 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 2011-09-20
1508173337 John D Newman Registered Nurse 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 2010-08-31
1073758330 Jennifer Lynn Kolesar Pharmacist Cvs Pharmacy 68 Main St., Binghamton, NY 13905 2008-12-15
1245355155 Tara Jayant Belsare Psychiatry & Neurology 38 Riverside Drive, Binghamton, NY 13905 2007-03-20
1659411866 State of New York Intermediate Care Facility, Mentally Retarded Glenwood Rd, Binghamton, NY 13905 2007-02-07
1528133956 Judith Tanzer Social Worker 35 Front Street, Binghamton, NY 13905 2006-11-21
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245703636 Barbara Jean Murphy Social Worker 86-88 Walnut St, Binghamton, NY 13905-2928 2019-01-08
1851761506 Joanne Reynolds Social Worker 425 Robinson Street, Gbhc, Binghamton, NY 13904 2015-10-06
1477952604 Renee Gotthardt Social Worker 27 Bigelow St, Binghamton, NY 13904-1601 2014-08-13
1295915874 Anne Tinen Social Worker 8 Murray St, Binghamton, NY 13905-4503 2007-11-12
1558552919 Charles Ernest Kramer Social Worker 37 Mill St, Alternatives Counseling Center, Binghamton, NY 13903-1935 2007-08-09
1851410732 Andrea Mari Barbis Social Worker 13 Ayres St, Binghamton, NY 13905-4537 2007-03-29
1346381340 Joanne Stevens Thomas Social Worker 61 Matthew Dr, Binghamton, NY 13901-5748 2007-02-11
1376684043 George E. Tomaras Social Worker 84 Court St, Suite 413, Binghamton, NY 13901-3348 2007-02-08
1306982525 Kathryn Contini Social Worker 126 Park Ave, 1b, Binghamton, NY 13903-3280 2007-01-29
1841345741 Jason C. Purdy Social Worker 98 Oak St, Binghamton, NY 13905-3769 2007-01-24
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Competitor

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City BINGHAMTON
Zip Code 13905

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Dataset Information

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.

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