Individual provider Active NPI

Melissa Raymelle Floyd-Pickard, PH.D., LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1154560928
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NCC004414 Issued in NC
Practice address
518 N Elm St
Sanctuary House Inc
Greensboro, NC 27401-2018
Phone
(336) 275-7596
Fax
(336) 346-1748
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004414 NC
Clinical Social Worker 1041C0700X NCC004414 NC Primary

Addresses

Primary practice location

518 N Elm St
Sanctuary House Inc
Greensboro, NC 27401-2018

Mailing address

PO Box 21141
Greensboro, NC 27420-1141
Phone (336) 275-7596

Other identifiers 1

IdentifierTypeStateIssuer
6007264MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000302 NC Practitioner - Clinical Social Worker 2961528955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NCC004414NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sanctuary House CurrentSince Jan 24, 2025 Accepting new patients
Sanctuary House PastSince Jan 24, 2025 Accepting new patients

Locations

411 W Fisher Ave
Greensboro, NC 27401
Phone (336) 275-7896

518 N Elm St
Greensboro, NC 27401
Phone (336) 209-0726

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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1154560928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21141",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274201141",
            "telephone_number": "336-275-7596",
            "fax_number": "336-346-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N ELM ST",
            "address_2": "SANCTUARY HOUSE INC",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012018",
            "telephone_number": "336-275-7596",
            "fax_number": "336-346-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD-PICKARD",
        "first_name": "MELISSA",
        "middle_name": "RAYMELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004414",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "NCC004414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.