Individual provider Active NPI

Marjorie Edd Rivera Melendez, RCSWI

  • Social Worker
  • Orlando, FL
National Provider Identifier
1801158043
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ISW 6394 Issued in FL
Practice address
1010 Executive Center Dr
#100
Orlando, FL 32803-3529
Phone
(321) 281-3840
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW 6394 FL Primary

Addresses

Primary practice location

1010 Executive Center Dr
#100
Orlando, FL 32803-3529

Mailing address

654 Glades Cir
#228
Altamonte Springs, FL 32714-7100
Phone (407) 314-4978

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
ISW 6394FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1801158043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 GLADES CIR",
            "address_2": "#228",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147100",
            "telephone_number": "407-314-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EXECUTIVE CENTER DR",
            "address_2": "#100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033529",
            "telephone_number": "321-281-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MELENDEZ",
        "first_name": "MARJORIE",
        "middle_name": "EDD",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "ISW 6394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.