MICHELLE CONELLI L.M.F.T., L.C.S.W.
NPI 1467590828
Social Worker in Port Jefferson Station, NY

Q: What is Michelle Conelli's NPI number?

The NPI number for Michelle Conelli is 1467590828. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Michelle Conelli's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Conelli was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment

650 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 403-3318(631) 509-4824 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 4, 2022, Jul 6, 2019 (2 updates tracked since 2019).

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About Michelle Conelli L.m.f.t., L.c.s.w. NPPES

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

MICHELLE CONELLI L.M.F.T., L.C.S.W. (NPI 1467590828) is an individual social worker in Port Jefferson Station, New York, licensed in New York (073603) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1467590828

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMICHELLE CONELLICredential: L.M.F.T., L.C.S.W.

Location Address650 HALLOCK AVEPort Jefferson Station, NY 11776-1256

Mailing Address650 Hallock AvePort Jefferson Station, NY 11776-1256 · (631) 403-3318 · Fax (631) 509-4824

Phone(631) 403-3318

Fax(631) 509-4824

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateFebruary 1, 2007

Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2021

✔ NPI 1467590828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 073603

Definition

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.

650 HALLOCK AVE, Port Jefferson Station, NY 11776

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Conelli L.m.f.t., L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062503659

PECOS Enrollment IDI20070810000772

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIJO CHACKO

Counselor (Mental Health)

650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 430-3318

ALISSA BROOKS LCSW

Social Worker

650 HALLOCK AVE
PORT JEFF STA, NY 11776

Suffolk County (631) 403-3318

MS. GRACEANN ELIZABETH BALDENKO

Counselor (Mental Health)

650 HALLOCK AVE
PORT JEFF STA, NY 11776

Suffolk County (631) 403-3318

MS. TINA-LOUISE HANNEL

Counselor (Mental Health)

650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 403-3318

MS. DANIELLE DOLORES OLIVERI

Counselor

650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 403-3318

BRIANA TAYLOR LMSW

Social Worker

650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 949-6133

JESSICA PANZARINO LMSW

Social Worker (Clinical)

650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 403-3318

AMANDA MAUREEN MCINERNEY LMHC

Counselor (Mental Health)

650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 403-3318

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 Michelle Conelli's NPI number?

The NPI number for Michelle Conelli is 1467590828. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Michelle Conelli located?

Michelle Conelli practices at 650 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 403-3318.

What is Michelle Conelli's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Michelle Conelli enrolled in Medicare?

Yes. Michelle Conelli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Conelli was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.