Individual provider Active NPI

Charlotte Melton, RCSWI

  • Social Worker
  • Orlando, FL
National Provider Identifier
1063253805
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
20395 Issued in FL
Practice address
9685 Lake Nona Village PL Ste 103
Orlando, FL 32827-7321
Phone
(407) 557-8160
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 20395 FL Primary

Addresses

Primary practice location

9685 Lake Nona Village PL Ste 103
Orlando, FL 32827-7321

Mailing address

7261 Sheridan St Ste 340
Hollywood, FL 33024-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20395FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC CurrentSince Jun 9, 2024 Accepting new patients
Mental Health Association of Central Florida Current Accepting new patients

Locations

7261 Sheridan St
Ste 340
Hollywood, FL 33024

9685 Lake Nona Village Pl
Ste 103
Orlando, FL 32827
Phone (407) 557-8160

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1063253805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 340",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 LAKE NONA VILLAGE PL STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277321",
            "telephone_number": "407-557-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "CHARLOTTE",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "20395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.