Individual provider Active NPI

Melissa E Pellegrino, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1164748331
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009128 Issued in NC
Practice address
3000 New Bern Ave
Raleigh, NC 27610-1295
Phone
(919) 350-7722
NPI assigned
Apr 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 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 075415 NY
Clinical Social Worker 1041C0700X C009128 NC Primary

Addresses

Primary practice location

3000 New Bern Ave
Raleigh, NC 27610-1295

Mailing address

9099 Mail Service Ctr Apt 1956
Raleigh, NC 27699-9000
Phone (919) 451-4966

Other practice location 1

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-7239

Other practice location 2

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-6641

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mficarra177979@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150722004287 NC Practitioner - Clinical Social Worker 9133432966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-5490
Phone (984) 215-6050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009128NCMDClinical Social Worker
075415NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince May 4, 2023 Accepting new patients
Wakemed Clinical CurrentSince Apr 1, 2021 Accepting new patients
Restoration Family Services, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Wakemed CurrentSince Apr 1, 2021 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

714 Wilkins St
Smithfield, NC 27577
Phone (919) 938-9502

Interoperability endpoints

  • Direct secure messaging: mficarra177979@direct.unc.nchie.net

Organizations & group practices 5

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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1164748331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 MAIL SERVICE CTR APT 1956",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276999000",
            "telephone_number": "919-451-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101295",
            "telephone_number": "919-350-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 New Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-7239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5221 Paramount Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275605490",
            "country_code": "US",
            "telephone_number": "984-215-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075415",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mficarra177979@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "5221 Paramount Pkwy Ste 220",
            "city": "Morrisville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275605490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.