Active NPI
Melisa Walker, LCSW
- Clinical Social Worker
- Bridgeton, NJ
National Provider Identifier
1124440995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05847500
- Practice address
- 333 Irving Ave
Bridgeton, NJ 08302-2123 - Phone
- (856) 575-4166
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05931300 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05847500 | NJ | Primary |
Addresses
Primary practice location
333 Irving Ave
Bridgeton, NJ 08302-2123
Mailing address
315 S Delsea Dr Apt K2
Clayton, NJ 08312-2239
Phone (856) 491-1688
Other practice location 1
721 W Connecticut Ave
Somers Point, NJ 08244-1913
Phone (856) 553-8979
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | EHR | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05931300 | NJ | MD | Social Worker |
| 44SC05847500 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1124440995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S DELSEA DR APT K2",
"city": "CLAYTON",
"state": "NJ",
"postal_code": "083122239",
"telephone_number": "856-491-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 IRVING AVE",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083022123",
"telephone_number": "856-575-4166"
}
],
"practiceLocations": [
{
"address_1": "721 W Connecticut Ave",
"address_purpose": "LOCATION",
"city": "Somers Point",
"state": "NJ",
"postal_code": "082441913",
"country_code": "US",
"telephone_number": "856-553-8979",
"fax_number": "856-575-5145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "MELISA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05931300",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05847500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "EHR",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "333 Irving Ave",
"city": "Bridgeton",
"state": "NJ",
"country_code": "US",
"postal_code": "083022123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.