Individual provider Active NPI

Mary Harrington Melton, MSW, LCSW, LCAS, CSI

  • Clinical Social Worker
  • Monroe, NC
National Provider Identifier
1649373457
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005330 Issued in NC
Practice address
400 N Church St
Monroe, NC 28112-4804
Phone
(704) 290-1540
Fax
(704) 624-9302
NPI assigned
Sep 7, 2006
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 996 NC
Clinical Social Worker 1041C0700X C005330 NC Primary

Addresses

Primary practice location

400 N Church St
Monroe, NC 28112-4804

Mailing address

1319 Marsh Rd
Marshville, NC 28103-6723
Phone (704) 242-3128

Other identifiers 1

IdentifierTypeStateIssuer
6106579MedicaidNC

Other names 1

  • 'Meg' Harrington Melton Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
996NCMDCounseling Psychologist
C005330NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Public Schools Clinical PastSince Sep 5, 2021 Accepting new patients
Union County Public Schools PastSince Sep 5, 2021 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, 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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1649373457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 MARSH RD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281036723",
            "telephone_number": "704-242-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CHURCH ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124804",
            "telephone_number": "704-290-1540",
            "fax_number": "704-624-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "MARY",
        "middle_name": "HARRINGTON",
        "credential": "MSW, LCSW, LCAS, CSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "996",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106579",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "'MEG'",
            "last_name": "MELTON",
            "middle_name": "HARRINGTON",
            "credential": "MSW, LCSW, LCAS, CSI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.