Healthcare Provider Details

I. General information

NPI: 1821820192
Provider Name (Legal Business Name): MELISSA FEINMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3182 42ND ST APT 3
ASTORIA NY
11103-3166
US

IV. Provider business mailing address

3182 42ND ST APT 3
ASTORIA NY
11103-3166
US

V. Phone/Fax

Practice location:
  • Phone: 646-578-7637
  • Fax:
Mailing address:
  • Phone: 646-578-7637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102626
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: