Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Mellett, LCSW

Individual provider Social Worker · NPI 1083374557

Michael Mellett, LCSW is a Social Worker in Nyack, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

22 4th Ave Apt 2F
Nyack, NY 10960-2130
Phone: (516) 606-5208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 099799 (NY)
Social Worker Taxonomy 104100000X · Licence 108113 (NY)

Record details

NPI number1083374557
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 27, 2021
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address22 4th Ave Apt 2f, Nyack, NY 10960-2130

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