Healthcare Provider Details

I. General information

NPI: 1982957494
Provider Name (Legal Business Name): MICHELLE SICIGNANO LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2012
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 PLAINEDGE DR
BETHPAGE NY
11714-6319
US

IV. Provider business mailing address

43 PLAINEDGE DR
BETHPAGE NY
11714-6319
US

V. Phone/Fax

Practice location:
  • Phone: 516-336-5944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number087583-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: