Active NPI
Melissa Ann Farrell, LCSW
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1669745295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10652
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW10652 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sailor Health Medical PA | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.