Melissa Jane Middleman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04689100 Issued in NJ

Practice address

6 Park Ave
Bloomfield, NJ 07003-2656

Phone

(862) 452-4883

NPI assigned

Jun 21, 2006

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Self Employed

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1437855152
  NPD Authorized official

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1194761981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032656",
            "telephone_number": "862-452-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032656",
            "telephone_number": "862-452-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEMAN",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04689100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Mercorella, PH.D.
• Dimitris Myles Meredith, LPC
• Metafit Complete, LLC
• Michael H Sutton
• Kimberly Michel, DNP, PMHNP-BC
• Wanda Janina Mikulski, MD
• Paul M Miller
• Scott Steven Miller, PH.D.
• Barbara Jean Minemier, HEALTH COACH
• Rekha Miryala, M.D

• Clinical Social Worker in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.