Active NPI
Melanie Sandford Dalton, L.C.S.W.
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1679674741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006075
- Practice address
- 821 W Broad St
Richmond, VA 23220-3806 - Phone
- (804) 426-8799
- NPI assigned
- Sep 25, 2006
- Last updated
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | VA | ||
| Clinical Social Worker | 1041C0700X | LC200002629 | DC | |
| Clinical Social Worker | 1041C0700X | 0904006075 | VA | Primary |
Addresses
Primary practice location
821 W Broad St
Richmond, VA 23220-3806
Mailing address
821 W Broad St
Richmond, VA 23220-3806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010293561 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MA, NJ, DC, NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13282 April Cir
Lovettsville, VA 20180-3543
Phone (517) 256-9928
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC200002629 | DC | MD | Clinical Social Worker |
| 0904006075 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Behavioral Health Services NJ, PC | Current | Accepting new patients | |
| Talkspace Provider Network PA | Current | Accepting new patients | |
| Talkspace Medical Services Ny PC | Current | Accepting new patients | |
| Shine Medical PC | Past | Accepting new patients | |
| Shine Medical Providers PC | Past | Accepting new patients | |
| Intercept Youth Services, Inc. | Past | Accepting new patients | |
| Shine Medical of Ca PC | Past | Accepting new patients |
Locations
2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1679674741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232203806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232203806",
"telephone_number": "804-426-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "MELANIE",
"middle_name": "SANDFORD",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200002629",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010293561",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.