Active NPI
Emily Mello, LCSW
- Social Worker
- Providence, RI
National Provider Identifier
1770148736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW02374
- Practice address
- 530 N Main St FL 2
Providence, RI 02904-5762 - Phone
- (401) 276-4100
- NPI assigned
- May 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | CSW02374 | RI | Primary |
Addresses
Primary practice location
530 N Main St FL 2
Providence, RI 02904-5762
Mailing address
530 N Main St FL 2
Providence, RI 02904-5762
Phone (401) 276-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW02374 | RI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Joanne L Doucette Psychological Services Inc | Current | Accepting new patients | |
| Directions for Life Inc | Social Worker | Current | Accepting new patients |
| Diversity Counseling LLC | Current | Accepting new patients | |
| The Inner You | Past | Accepting new patients | |
| The Providence Center | Past | Accepting new patients |
Locations
1020 Park Ave
Providence, RI 02910
Phone (401) 396-7649
111 Wayland Ave
Providence, RI 02906
Phone (401) 396-7649
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Social Worker
- Cranston, RI
- NPI 1427432137
-
- Addiction (Substance Use Disorder) Counselor
- Cranston, RI
- NPI 1033868930
-
- Psychologist
- Providence, RI
- NPI 1104051176
-
- Clinical Social Worker
- Warwick, RI
- NPI 1386177566
-
- Community/Behavioral Health Agency
- Providence, RI
- NPI 1134977598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1770148736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 N MAIN ST FL 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045762",
"telephone_number": "401-276-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N MAIN ST FL 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045762",
"telephone_number": "401-276-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO",
"first_name": "EMILY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "RI",
"license": "CSW02374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.