Individual provider Active NPI

Jennifer Melanson, MSW, LCSW

  • Clinical Social Worker
  • Chelmsford, MA
National Provider Identifier
1699571307
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW227420 Issued in MA
Practice address
1 Meeting House Rd Ste 11
Chelmsford, MA 01824-2737
Phone
(978) 855-8062
NPI assigned
Feb 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 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 LCSW227420 MA Primary

Addresses

Primary practice location

1 Meeting House Rd Ste 11
Chelmsford, MA 01824-2737

Mailing address

79 Clement Rd
Townsend, MA 01474-1114
Phone (978) 855-8062

Other practice location 1

79 Clement Rd
Townsend, MA 01474-1114
Phone (978) 855-8062

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
LCSW227420MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1699571307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 CLEMENT RD",
            "city": "TOWNSEND",
            "state": "MA",
            "postal_code": "014741114",
            "telephone_number": "978-855-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEETING HOUSE RD STE 11",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242737",
            "telephone_number": "978-855-8062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Clement Rd",
            "address_purpose": "LOCATION",
            "city": "Townsend",
            "state": "MA",
            "postal_code": "014741114",
            "country_code": "US",
            "telephone_number": "978-855-8062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELANSON",
        "first_name": "JENNIFER",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LCSW227420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.