Individual provider Active NPI

Melanie Sandford Dalton, L.C.S.W.

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1679674741
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006075 Issued in VA
Practice address
821 W Broad St
Richmond, VA 23220-3806
Phone
(804) 426-8799
NPI assigned
Sep 25, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010293561MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA, NJ, DC, NY, FL6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20240821000240 VA Practitioner - Clinical Social Worker 6305384405 Reassigns benefits to 1 organization
I20250626001869 MA Practitioner - Clinical Social Worker 6305384405 Reassigns benefits to 1 organization
I20250701001230 NJ Practitioner - Clinical Social Worker 6305384405 Reassigns benefits to 1 organization
I20250701001436 DC Practitioner - Clinical Social Worker 6305384405 Reassigns benefits to 1 organization
I20250703004049 NY Practitioner - Clinical Social Worker 6305384405 Reassigns benefits to 1 organization
I20260511003589 FL Practitioner - Clinical Social Worker 6305384405 Reassigns benefits to 1 organization

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
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

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

LicenseStateTypeSpecialty
LC200002629DCMDClinical Social Worker
0904006075VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Behavioral Health Services NJ, PC CurrentSince Apr 24, 2025 Accepting new patients
Talkspace Provider Network PA CurrentSince May 19, 2024 Accepting new patients
Talkspace Medical Services Ny PC CurrentSince May 1, 2025 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.

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

Verify at the official NPI Registry.