Active NPI
Angela E Mellott, MSW
- Clinical Social Worker
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- DP00946612
- Practice address
- 1314 Edwin Miller Blvd Ste 220
Martinsburg, WV 25404-5717 - Phone
- (304) 616-9566
- NPI assigned
- Aug 25, 2021
- Last updated
- Apr 16, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | DP00946612 | WV | Primary |
Addresses
Primary practice location
1314 Edwin Miller Blvd Ste 220
Martinsburg, WV 25404-5717
Mailing address
86 Howard Watson Cir
Hedgesville, WV 25427-5271
Phone (304) 671-4215
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1314 Edwin Miller Blvd
Suite 210
Martinsburg, WV 25404-5717
535 Mack Ave
Kingsley, MI 49649-9220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00946612 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mending Hearts Coaching and Counseling, LLC | Past | Accepting new patients | |
| Mountaineer Behavioral Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mending Hearts Coaching and Counseling
- Professional Counselor
- Martinsburg, WV
- NPI 1407526171
-
dba Mountaineer Recovery Center
- Substance Abuse Rehabilitation Facility
- Kearneysville, WV
- NPI 1780135863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1922775253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 HOWARD WATSON CIR",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254275271",
"telephone_number": "304-671-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 EDWIN MILLER BLVD STE 220",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254045717",
"telephone_number": "304-616-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLOTT",
"first_name": "ANGELA",
"middle_name": "E",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "DP00946612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
- Sowmini Medavaram, MD
- Medexpress Urgent Care, Inc. - West Virginia (MedExpress Urgent Care - Martinsburg)
- Jeremy Megargee
- Julia Mejia
- Pamila K Melander
- Kristen Mellott
- Emily Mellow
- Neo M Melonas, R.PH.
- Mending Hearts Coaching and Counseling, LLC (Mending Hearts Coaching and Counseling)
- Michael Menear
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.