Melissa Disilvestro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12112 Issued in SC

Practice address

5623 Sylvan Dr
Columbia, SC 29206-1624

Phone

(919) 904-0352

NPI assigned

Mar 29, 2010

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1750606240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 SYLVAN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061624",
            "telephone_number": "919-904-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 SYLVAN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292061624",
            "telephone_number": "919-904-0352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Perimeter Park Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275608442",
            "country_code": "US",
            "telephone_number": "919-960-7461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISILVESTRO",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P004100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q53148A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Diroma, APRN
• Traylor Disbrow, LPCA
• Discovery Diagnostics
• Discovery Therapies, Inc.
• Jamie Lea Disharoon
• Catherine Disspayne
• Katelyn Davis Ditch, PHARMD
• Daniel James Dittus, D.O.
• Russell E. Ditzler, MD
• Jonathan Daniel Diveglia

• Clinical Social Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.