Individual provider Active NPI

Tsipora D. Melman, MSW, LCSW

  • Clinical Social Worker
  • Trevose, PA
National Provider Identifier
1366650004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013743 Issued in PA
Practice address
4610 E Street Rd
Internet Behavior- Trevose Corporate Center
Trevose, PA 19053-6612
Phone
(800) 366-0129
Fax
(215) 638-1299
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 CW013743 PA Primary

Addresses

Primary practice location

4610 E Street Rd
Internet Behavior- Trevose Corporate Center
Trevose, PA 19053-6612

Mailing address

1265 Thames Cres
Yardley, PA 19067-6009
Phone (215) 321-8807

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
CW013743PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366650004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 THAMES CRES",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190676009",
            "telephone_number": "215-321-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 E STREET RD",
            "address_2": "INTERNET BEHAVIOR- TREVOSE CORPORATE CENTER",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536612",
            "telephone_number": "800-366-0129",
            "fax_number": "215-638-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELMAN",
        "first_name": "TSIPORA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.