Individual provider Active NPI

Melissa Wissler, MSW, LSW

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1366065559
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
136945 Issued in PA
Practice address
1000 S 5TH St
Philadelphia, PA 19147-4010
Phone
(484) 201-7727
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 136945 PA Primary

Addresses

Primary practice location

1000 S 5TH St
Philadelphia, PA 19147-4010

Mailing address

1000 S 5TH St
Philadelphia, PA 19147-4010
Phone (484) 201-7727

Other identifiers 1

IdentifierTypeStateIssuer
1811211949OtherNJJAYCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ProviderSoft Direct

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
136945PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1366065559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474010",
            "telephone_number": "484-201-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474010",
            "telephone_number": "484-201-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSLER",
        "first_name": "MELISSA",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "136945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAYCARE",
            "identifier": "1811211949",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ProviderSoft",
            "affiliation": "N",
            "endpointDescription": "ProviderSoft LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 S 5th St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191474010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.