Individual provider · Type 1 NPI

Peter A. Melillo, LCSW

Clinical Social Worker · New York, NY

NPI number 1972667145 Active

Practice location

322 8th Ave, 802
New York, NY 10001-8001

Call (212) 243-2830 Map

Fax (212) 243-3175

Mailing address

3720 81st St, 5D
Jackson Heights, NY 11372-6969

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR044108-1 (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 1972667145

Peter A. Melillo, LCSW's National Provider Identifier is 1972667145, issued on Dec 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 9, 2007.