MEDICARE: MELISSA CATANESE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	098587	NY

General Provider Information

NPI Number	:	1356932339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA CATANESE LCSW

Provider Business Mailing Address
First Line	:	165 N VILLAGE AVE STE 12
Second Line	:
City	:	ROCKVILLE CENTRE
State	:	NY
Zip	:	11570-3701
Country	:	US
Telephone Number	:	516-350-8564
Fax Number	:	516-874-2477

Provider Business Practice Location Address
First Line	:	3375 PARK AVE STE 4006
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793-3799
Country	:	US
Telephone Number	:	516-350-8564
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2021
Last Update Date	:	10/08/2024

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