Individual provider Active NPI

Melanie Grace Gerald, MSW, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1396126991
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018835 Issued in PA
Practice address
1800 John F Kennedy Blvd Ste 1404
Philadelphia, PA 19103-7417
Phone
(215) 398-6600
NPI assigned
Jun 9, 2015
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05517000 NJ
Clinical Social Worker 1041C0700X CW018835 PA Primary

Addresses

Primary practice location

1800 John F Kennedy Blvd Ste 1404
Philadelphia, PA 19103-7417

Mailing address

37 Cherry St
Mount Holly, NJ 08060-1834
Phone (732) 754-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210429000257 PA Practitioner - Clinical Social Worker 4789093998 Reassigns benefits to 2 organizations
I20240805003140 NJ Practitioner - Clinical Social Worker 4789093998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

44 La Salle Ave
Piedmont, CA 94611-3549

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05517000NJMDSocial Worker
CW018835PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Apr 27, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 25, 2022 Accepting new patients
Brightside Medical of New Jersey, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Feb 20, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 561-9950

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1396126991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CHERRY ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601834",
            "telephone_number": "732-754-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JOHN F KENNEDY BLVD STE 1404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037417",
            "telephone_number": "215-398-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERALD",
        "first_name": "MELANIE",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05517000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.