Individual provider Active NPI

Melina Jackman

  • Social Worker
  • Camden, NJ
National Provider Identifier
1154064913
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
817 Federal St
Camden, NJ 08103-1539
Phone
(856) 583-2400
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 NJ Primary

Addresses

Primary practice location

817 Federal St
Camden, NJ 08103-1539

Mailing address

1501 Old Black Horse Pike Apt L4
Blackwood, NJ 08012-4932
Phone (856) 534-1297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131003041 NJ Practitioner - Clinical Social Worker 4385173509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camcare Health CorporationGroup PAC ID 2567365117, 27 clinicians

Practice addresses (Care Compare)

121 White Horse Pike
Clementon, NJ 08021-4158
Phone (856) 583-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation CurrentSince May 12, 2025 Accepting new patients
Camcare Health Corporation CurrentSince May 12, 2025 Accepting new patients
Legacy Treatment Services Inc Current Accepting new patients
Camcare Health Corporation Current Accepting new patients

Locations

100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

1289 Route 38
Ste 203
Hainesport, NJ 08036
Phone (609) 267-1377

795 Woodlane Rd
Westampton, NJ 08060
Phone (609) 265-5800

Organizations & group practices 4

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1154064913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OLD BLACK HORSE PIKE APT L4",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124932",
            "telephone_number": "856-534-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "MELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.