Individual provider Active NPI

Melissa Margaret Schneider, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
National Provider Identifier
1174773337
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05751400 Issued in NJ
Practice address
33 Wayne St Apt 1R
Jersey City, NJ 07302-3541
Phone
(412) 841-8334
Fax
(844) 866-6790
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 44SC05751400 NJ Primary
Clinical Social Worker 1041C0700X 074263-1 NY

Addresses

Primary practice location

33 Wayne St Apt 1R
Jersey City, NJ 07302-3541

Mailing address

296 1/2 6TH St
Jersey City, NJ 07302-6905
Phone (412) 841-8334

Other names 1

  • Melissa Margaret Haines Former name

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
I20230703002256 NJ Practitioner - Clinical Social Worker 4688033004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolution CounselingGroup PAC ID 3779942198, 11 clinicians

Practice addresses (Care Compare)

26 Journal SQ
Suite 505
Jersey City, NJ 07306-4105
Phone (201) 632-5554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05751400NJMDClinical Social Worker
074263-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Therapy LLC Clinical CurrentSince Jul 2, 2023 Accepting new patients
Resolution Counseling Clinical CurrentSince May 15, 2023 Accepting new patients

Locations

26 Journal Sq
Ste 505
Jersey City, NJ 07306
Phone (201) 212-6475

96 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 378-2003

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1174773337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 1/2 6TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026905",
            "telephone_number": "412-841-8334",
            "fax_number": "844-866-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WAYNE ST APT 1R",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023541",
            "telephone_number": "412-841-8334",
            "fax_number": "844-866-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MELISSA",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05751400",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074263-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HAINES",
            "middle_name": "MARGARET",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.