Individual provider Active NPI

Melissa Ann Landrigan, LCSW

  • Clinical Social Worker
  • Conshohocken, PA
National Provider Identifier
1841828266
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021139 Issued in PA
Practice address
241 E 12TH Ave
Conshohocken, PA 19428-1543
Phone
(973) 787-4173
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW021139 PA Primary

Addresses

Primary practice location

241 E 12TH Ave
Conshohocken, PA 19428-1543

Mailing address

241 E 12TH Ave
Conshohocken, PA 19428-1543
Phone (973) 787-4173

Other names 1

  • Melissa Ann Bennett Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1841828266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E 12TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281543",
            "telephone_number": "973-787-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 E 12TH AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281543",
            "telephone_number": "973-787-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRIGAN",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BENNETT",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conshohocken, PA

Sources for this page

Verify at the official NPI Registry.