Melissa Wladich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05523500 Issued in NJ

Practice address

1500 Route 88
Brick, NJ 08724-2320

Phone

(732) 458-1700

Fax

(732) 785-9500

NPI assigned

Jun 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melissa Harvey Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Integrated Counseling LLCGroup PAC ID 9032529904, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shore Integrated Counseling LLC

  • Community/Behavioral Health Agency
  • Wall, NJ
  • NPI 1487266839
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1932581972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242320",
            "telephone_number": "732-458-1700",
            "fax_number": "732-785-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087242320",
            "telephone_number": "732-458-1700",
            "fax_number": "732-785-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLADICH",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05523500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0029807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HARVEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francis Paul Wilson, DO
• Tiffaney Wilson, LAC
• Windward Transportation, LLC
• Neal Jeffrey Winzelberg, MD
• Jacqueline Michelle Wisnik-Rainville, MD
• Judith Wolansky, COTA
• Brian Wolfman, M.D., MSC
• Jeanne M Wood
• John Stephen Wood
• Colleen Woods

• Clinical Social Worker in Brick, NJ
• Providers in Brick, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.

Verify at the official NPI Registry.