Individual provider Active NPI

John Thomas Melahn, LCSW

  • Clinical Social Worker
  • Parsippany, NJ
National Provider Identifier
1356517783
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04737200 Issued in NJ
Practice address
40 Baldwin Rd Ste 5
Parsippany, NJ 07054-2986
Phone
(973) 316-6077
Fax
(973) 541-1706
NPI assigned
May 6, 2008
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04737200 NJ Primary

Addresses

Primary practice location

40 Baldwin Rd Ste 5
Parsippany, NJ 07054-2986

Mailing address

15 Kentwood Rd
Succasunna, NJ 07876-1405
Phone (201) 317-9457

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

LicenseStateTypeSpecialty
44SC04737200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Assessments Counseling Educational Services CurrentSince Dec 9, 2019 Accepting new patients
Assessments Counseling Educational Services Current Accepting new patients

Locations

40 Baldwin Rd
Ste 5
Parsippany, NJ 07054
Phone (973) 316-6077

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1356517783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 KENTWOOD RD",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761405",
            "telephone_number": "201-317-9457",
            "fax_number": "973-541-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BALDWIN RD STE 5",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542986",
            "telephone_number": "973-316-6077",
            "fax_number": "973-541-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELAHN",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-06",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04737200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.