Jackson Melnick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

394 Angell St
Providence, RI 02906-4075

Phone

(970) 596-3194

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Vital Essence LLC

  • Clinical Social Worker
  • Providence, RI
  • NPI 1568235976
  NPD Authorized official

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1629643176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RICE AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064075",
            "telephone_number": "970-596-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNICK",
        "first_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyNotes.com",
            "affiliation": "N",
            "address_1": "38 N Court St Ste 2",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029031266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kerry Lynn Mello, PHARM.D.
• Matthew Mello, PA-C
• Michael Mello, MD
• Peter Richard Mello, PA-C, MPAS
• Ramona Mello, LICSW
• Kristyn Lee Melo
• Lisa Melville, NURSE PRACTITIONER
• Maimoona Haroon Memon, MD
• Linda Y Men, CCHW
• Marith Men, LICSW

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.