Active NPI
Melodie Harmon, LICSW
- Clinical Social Worker
- Bristol, RI
National Provider Identifier
1306383120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 117602
- Practice address
- 295 Hope St
Bristol, RI 02809-2016 - Phone
- (508) 868-4252
- NPI assigned
- Jan 31, 2017
- Last updated
- Oct 31, 2023
- 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 | 117602 | MA | Primary |
Addresses
Primary practice location
295 Hope St
Bristol, RI 02809-2016
Mailing address
295 Hope St
Bristol, RI 02809-2016
Phone (508) 868-4252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240385 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117602 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
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, 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": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1306383120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 HOPE ST",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028092016",
"telephone_number": "508-868-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 HOPE ST",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028092016",
"telephone_number": "508-868-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "MELODIE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "117602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240385",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, RI
- Jaclyn Gray
- Greater Rhode Island Lymphatic Therapy, LLC
- Greentree Nursing and Rehab LLC (The Dawn Hill Home for Rehab and Healthcare)
- Bethany Griffith, PHARM. D.
- Geoffrey Robert Hamilton, MD
- Pamela Ann Harrop, MD
- William D. Hart, MSW
- Elizabeth Margaret Haslam, LMHC
- Jeanne-Marie Hogan, LMHC, CRC
- Holding Hope Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.