Individual provider Active NPI

Robert Melo, LICSW

  • Clinical Social Worker
  • Bristol, RI
National Provider Identifier
1679732655
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
52 Seabreeze LN
Bristol, RI 02809-1552
Phone
(401) 253-1077
NPI assigned
Jun 5, 2008
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

52 Seabreeze LN
Bristol, RI 02809-1552

Mailing address

52 Seabreeze LN
Bristol, RI 02809-1552
Phone (401) 253-1077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080723000070 MA Practitioner - Clinical Social Worker 2961575030 Reassigns benefits to 1 organization
I20260623000096 RI Practitioner - Clinical Social Worker 2961575030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16700 Escalon Dr
Fontana, CA 92336-5111

52 Seabreeze LN
Bristol, RI 02809-1552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Person Centered Therapy LLC Clinical CurrentSince Sep 14, 2025 Accepting new patients
Prime Medical Associates,LLC CurrentSince Nov 12, 2025 Accepting new patients
Plymouth County Behavioral Health LLC PastSince Dec 1, 2022 Accepting new patients

Locations

237A State Rd
North Dartmouth, MA 02747
Phone (508) 979-1100

Organizations & group practices 3

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1679732655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SEABREEZE LN",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091552",
            "telephone_number": "401-253-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SEABREEZE LN",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091552",
            "telephone_number": "401-253-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO",
        "first_name": "ROBERT",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

Verify at the official NPI Registry.