Individual provider Active NPI

Maristela Normando Melo, LCSW

  • Clinical Social Worker
  • Union, NJ
National Provider Identifier
1679928758
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01287600 Issued in NJ
Practice address
2204 Morris Ave
Suite 2B
Union, NJ 07083-5918
Phone
(908) 851-0148
Fax
(908) 688-4841
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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 44SC01287600 NJ Primary

Addresses

Primary practice location

2204 Morris Ave
Suite 2B
Union, NJ 07083-5918

Mailing address

2204 Morris Ave Ste 2B
Union, NJ 07083-5921
Phone (908) 851-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC01287600NJMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1679928758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 MORRIS AVE STE 2B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835921",
            "telephone_number": "908-851-0148",
            "fax_number": "908-688-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 MORRIS AVE",
            "address_2": "SUITE 2B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835918",
            "telephone_number": "908-851-0148",
            "fax_number": "908-688-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO",
        "first_name": "MARISTELA",
        "middle_name": "NORMANDO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01287600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.