Individual provider Active NPI

Melissa Gilbarg, LCSW, LICSW

  • Clinical Social Worker
  • Concord, CA
National Provider Identifier
1780028548
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW95634 Issued in CA
Practice address
1936 Carlotta Dr
Concord, CA 94519-1358
Phone
(925) 682-8000
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LCSW95634 CA Primary

Addresses

Primary practice location

1936 Carlotta Dr
Concord, CA 94519-1358

Mailing address

2086 Pheasant Dr
Hercules, CA 94547-1636
Phone (508) 982-8746

Other practice location 1

106 Bullard St
New Bedford, MA 02746-1706
Phone (508) 990-1902

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gilbargm@mdusd.org

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
LCSW95634CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1780028548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 PHEASANT DR",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471636",
            "telephone_number": "508-982-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 CARLOTTA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945191358",
            "telephone_number": "925-682-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Bullard St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027461706",
            "country_code": "US",
            "telephone_number": "508-990-1902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBARG",
        "first_name": "MELISSA",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW95634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gilbargm@mdusd.org",
            "affiliation": "N",
            "address_1": "1936 Carlotta Dr",
            "city": "Concord",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945191358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.