Melissa Vanderwolf Weldon, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22334 Issued in MD

Practice address

405 Atwater Rd
Broomall, PA 19008-2006

Phone

(484) 347-5691

NPI assigned

Oct 12, 2020

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1144828161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ATWATER RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082006",
            "telephone_number": "484-347-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ATWATER RD",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082006",
            "telephone_number": "484-347-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "MELISSA",
        "middle_name": "VANDERWOLF",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla R Watson, RBT
• Tom C Watson, D.M.D.
• William A Wegener, MD
• Hanna Chaya Weintraub, OTR/L, CLT
• Karen Weiss, LSW
• Bridgett Wendel, PHARMD
• West Chester Optometry, P.C.
• Sander Irwin White, DDS
• Sharon Denise White, MSS, LCSW
• Jamie Lynn Whitesell

• Clinical Social Worker in Broomall, PA
• Providers in Broomall, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.