Active NPI
Kevin James Paul Melcher, MSW, LSW
- Social Worker
- Upper Darby, PA
National Provider Identifier
1205343100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW134635
- Practice address
- 225 S 69TH St
Upper Darby, PA 19082-4212 - Phone
- (610) 352-8943
- NPI assigned
- Jan 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW134635 | PA | Primary |
Addresses
Primary practice location
225 S 69TH St
Upper Darby, PA 19082-4212
Mailing address
34 W Lynbrook Rd
Collingdale, PA 19023-1010
Phone (267) 408-3749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW134635 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Clinical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Lancaster, PA
- NPI 1023267473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1205343100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 W LYNBROOK RD",
"city": "COLLINGDALE",
"state": "PA",
"postal_code": "190231010",
"telephone_number": "267-408-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S 69TH ST",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190824212",
"telephone_number": "610-352-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHER",
"first_name": "KEVIN",
"middle_name": "JAMES PAUL",
"name_prefix": "Mr.",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW134635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.