Active NPI
Melissa Gatlin, LCSW-C
- Clinical Social Worker
- Rockville, MD
National Provider Identifier
1225469422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09272
- Practice address
- 200 Wood Hill Rd
Rockville, MD 20850-8724 - Phone
- (301) 838-4200
- Fax
- (301) 610-8402
- NPI assigned
- Dec 12, 2013
- Last updated
- Oct 11, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09272 | MD | Primary |
Addresses
Primary practice location
200 Wood Hill Rd
Rockville, MD 20850-8724
Mailing address
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone (301) 838-4200
Other names 1
- Ms. Melissa L. Childers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone 30183842002616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09272 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Social Service Agency | Clinical | Current | Accepting new patients |
| Jewish Social Service Agency | Clinical | Current | Accepting new patients |
Locations
200 Wood Hill Rd
Rockville, MD 20850
Phone (240) 800-5772
6123 Montrose Rd
Rockville, MD 20852
Phone (301) 838-4200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1225469422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WOOD HILL RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508724",
"telephone_number": "301-838-4200",
"fax_number": "301-610-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WOOD HILL RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508724",
"telephone_number": "301-838-4200",
"fax_number": "301-610-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATLIN",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "09272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CHILDERS",
"middle_name": "L.",
"prefix": "MS.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.