Active NPI
Melanie Lynn Harris, THERAPIST
- Social Worker
- Baltimore, MD
National Provider Identifier
1740632173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 21128
- Practice address
- 5820 York Rd
Suite 202
Baltimore, MD 21212-3610 - Phone
- (301) 345-1022
- NPI assigned
- Jul 11, 2016
- Last updated
- Nov 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 21128 | MD | Primary |
Addresses
Primary practice location
5820 York Rd
Suite 202
Baltimore, MD 21212-3610
Mailing address
6001 Walther Ave
Baltimore, MD 21206-2338
Phone (443) 962-8929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21128 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care of Maryland LLC | Current | Accepting new patients | |
| Healthy Minds Matter, LLC | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1508402322
-
dba Community Wellness Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1114348463
-
dba Community Wellness Center
- Primary Care Clinic/Center
- Baltimore, MD
- NPI 1184057481
-
- Psychologist
- Riverdale, MD
- NPI 1447802616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1740632173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 WALTHER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212062338",
"telephone_number": "443-962-8929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 YORK RD",
"address_2": "SUITE 202",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123610",
"telephone_number": "301-345-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MELANIE",
"middle_name": "LYNN",
"credential": "THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-11",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "21128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.