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MICHAEL MELLETT LCSW
NPI 1083374557
Social Worker - Clinical in Nyack, NY

Active since December 27, 2021PECOS Enrolled
22 4TH AVE APT 2F, NYACK, NY 10960(516) 606-5208 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Dec 27, 2021 (2 updates tracked since 2021).

About Michael Mellett Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MELLETT LCSW (NPI 1083374557) is an individual clinical provider in Nyack, New York, licensed in New York (099799) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083374557
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL MELLETTCredential: LCSW
Location Address22 4TH AVE APT 2FNyack, NY 10960-2130
Mailing Address22 4th Ave Apt 2fNyack, NY 10960-2130 · (516) 606-5208
Phone(516) 606-5208
Sole ProprietorNo
Enumeration DateDecember 27, 2021
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1083374557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 099799
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 108113 (NY)
22 4TH AVE APT 2F, Nyack, NY 10960
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Mellett Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Mellett's NPI number?

The NPI number for Michael Mellett is 1083374557. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Michael Mellett located?

Michael Mellett practices at 22 4th Ave Apt 2F, Nyack, NY 10960. The listed phone number is (516) 606-5208.

What is Michael Mellett's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Mellett enrolled in Medicare?

Yes. Michael Mellett is registered in the Medicare PECOS enrollment system.

What insurance does Michael Mellett accept?

Health plans from Providence Health Plan list Michael Mellett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Mellett was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.