Individual provider Active NPI

Melissa Ann Farrell, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1669745295
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10652 Issued in FL
Practice address
5200 34TH Ave N
St Petersburg, FL 33710-2002
Phone
(727) 848-0185
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 SW10652 FL Primary

Addresses

Primary practice location

5200 34TH Ave N
St Petersburg, FL 33710-2002

Mailing address

403 Shepherd St
Jonestown, PA 17038-9434
Phone (727) 848-0185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NH2 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
I20120329000716 FL Practitioner - Clinical Social Worker 6002076957 Reassigns benefits to 1 organization
Practice locations: Saint Petersburg, FL
I20260610003503 NH Practitioner - Clinical Social Worker 6002076957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
Phone (786) 269-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW10652FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sailor Health Medical PA Clinical CurrentSince Feb 18, 2026 Accepting new patients

Locations

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

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": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1669745295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SHEPHERD ST",
            "city": "JONESTOWN",
            "state": "PA",
            "postal_code": "170389434",
            "telephone_number": "727-848-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 34TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102002",
            "telephone_number": "727-848-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.