Individual provider · Type 1 NPI

Eileen Mellor Siciliano, L.C.S.W.

Clinical Social Worker · Southold, NY

NPI number 1013977057 Active

Practice location

50 Akerly Pond Ln
Southold, NY 11971-3005

Mailing address

10 Oak Ln
Roslyn Heights, NY 11577-2600

Other practice locations

  • 42 Ogden Ave, East Williston, NY 11596-2414 · (516) 746-2972

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR053336-1 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1013977057

Eileen Mellor Siciliano, L.C.S.W.'s National Provider Identifier is 1013977057, issued on Mar 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Southold, NY. The record was last updated on Dec 30, 2025.