Melody Washington, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012059 Issued in NC

Practice address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

Phone

(919) 833-3111

Fax

(919) 834-3118

NPI assigned

Aug 17, 2015

Sex

Female

Sole proprietor

Yes

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.

• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1245223783

  NC

  Medicare reassignment Care Compare group NPD
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Cary, NC
  • NPI 1952760290

  NC

  Medicare reassignment Care Compare group NPD
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1114479011
  Care Compare group NPD
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Fuquay Varina, NC
  • NPI 1114913092
  Care Compare group NPD
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1003528381
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Cary, NC
  • NPI 1275085144
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Apex, NC
  • NPI 1598751463
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1871589762
  Care Compare group
• Advance Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Louisburg, NC
  • NPI 1497918338
  NPD

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Community Health Inc 32 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2021.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1669848370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD CT STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046445",
            "telephone_number": "919-787-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111",
            "fax_number": "919-834-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Lake Boone Trl",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276072934",
            "country_code": "US",
            "telephone_number": "919-865-8824",
            "fax_number": "919-784-9184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Garner Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276104687",
            "country_code": "US",
            "telephone_number": "919-787-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MELODY",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P009772",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra G Wartski, PSY.D.
• Brittaney Washington
• Ebony Washington
• Gail Francine Washington
• Malek Raymond Washington
• Otis Riley Washington Jr., D.D.S.,M.S.
• Sandra P Washington, PA
• Shakia M Washington
• Sheraton Noelle Washington
• Taylor Washington

• All providers in Raleigh, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.

Verify at the official NPI Registry.