Individual provider Active NPI

Melissa Sheppard, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
National Provider Identifier
1740815760
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23830 Issued in MD
Practice address
300B Scholls LN
Frederick, MD 21701-6380
Phone
(240) 815-7300
NPI assigned
Mar 10, 2020
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 23830 MD Primary

Addresses

Primary practice location

300B Scholls LN
Frederick, MD 21701-6380

Mailing address

300B Scholls LN
Frederick, MD 21701-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20241112002365 MD Practitioner - Clinical Social Worker 3577097658 Reassigns benefits to 2 organizations
I20250513003128 DC Practitioner - Clinical Social Worker 3577097658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

10711 Red Run Blvd
Suite 101
Owings Mills, MD 21117-5138
Phone (240) 201-3386

4445 Willard Ave
Suite 600
Chevy Chase, MD 20815-3786
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harwood Behavioral Health II LLC CurrentSince Sep 1, 2024 Accepting new patients
Harwood Behavioral Health II LLC CurrentSince Sep 1, 2024 Accepting new patients
Sailor Health Medical PA Social Worker CurrentSince Apr 9, 2025 Accepting new patients

Locations

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

4445 Willard Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 921-4287

92 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (240) 815-7300

10711 Red Run Blvd
Ste 101
Owings Mills, MD 21117
Phone (443) 492-8557

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1740815760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300B SCHOLLS LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B SCHOLLS LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016380",
            "telephone_number": "240-815-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "MELISSA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-11-06",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.