Individual provider Active NPI

Melissa Perlin, LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1396084737
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13716 Issued in MD
Practice address
1055 Taylor Ave
Suite 205
Towson, MD 21286-8317
Phone
(410) 296-2004
Fax
(410) 296-0094
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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 13716 MD Primary

Addresses

Primary practice location

1055 Taylor Ave
Suite 205
Towson, MD 21286-8317

Mailing address

1055 Taylor Ave
Suite 205
Towson, MD 21286-8317
Phone (410) 296-2004

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406003487 DC Practitioner - Clinical Social Worker 8426422767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Stone Foundation, LLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1396084737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-296-2004",
            "fax_number": "410-296-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TAYLOR AVE",
            "address_2": "SUITE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868317",
            "telephone_number": "410-296-2004",
            "fax_number": "410-296-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLIN",
        "first_name": "MELISSA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.