Individual provider Active NPI

Melody Washington, MSW, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1669848370
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P009772 NC
Clinical Social Worker 1041C0700X C012059 NC Primary

Addresses

Primary practice location

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

Mailing address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Other practice location 1

3801 Lake Boone Trl
Suite 100
Raleigh, NC 27607-2934
Phone (919) 865-8824

Other practice location 2

2101 Garner Rd Ste 107
Raleigh, NC 27610-4687
Phone (919) 787-6131

Other practice location 3

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190910004008 NC Practitioner - Clinical Social Worker 6204165616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health IncGroup PAC ID 3577471697, shared by 8 NPIs, 32 clinicians

Practice addresses (Care Compare)

187 High House Rd
Cary, NC 27511-6715
Phone (919) 833-3111

212 S Salem St
Apex, NC 27502-1825
Phone (919) 833-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P009772NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Aug 19, 2019 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Aug 19, 2019 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 10, 2022 Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

187 High House Rd
Cary, NC 27511

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

Organizations & group practices 5

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1669848370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111",
            "fax_number": "919-948-7766"
        },
        {
            "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"
        },
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-833-3111",
            "fax_number": "919-948-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MELODY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "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": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.