Individual provider Active NPI

Melissa Claire Kallman, MSW, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1427710516
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14191 Issued in FL
Practice address
8649 A C Skinner Pkwy Apt 527
Jacksonville, FL 32256-7879
Phone
(386) 562-0886
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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 SW14191 FL Primary

Addresses

Primary practice location

8649 A C Skinner Pkwy Apt 527
Jacksonville, FL 32256-7879

Mailing address

8649 A C Skinner Pkwy Apt 527
Jacksonville, FL 32256-7879
Phone (386) 562-0886

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Melissakallmanlcsw@gmail.com

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
SW14191FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1427710516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8649 A C SKINNER PKWY APT 527",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567879",
            "telephone_number": "386-562-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8649 A C SKINNER PKWY APT 527",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567879",
            "telephone_number": "386-562-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLMAN",
        "first_name": "MELISSA",
        "middle_name": "CLAIRE",
        "name_prefix": "Miss",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Melissakallmanlcsw@gmail.com",
            "affiliation": "N",
            "address_1": "8649 A C Skinner Pkwy Apt 527",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322567879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.