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GWENDOLYN MELLOTT LCSWC
NPI 1124094602
Social Worker - Clinical in Hagerstown, MD

Active since February 24, 2006PECOS Enrolled
13218 BROOK LANE DRIVE, HAGERSTOWN, MD 21742(301) 733-0331(301) 733-4038 Get Directions Write a Review

NPPES record last updated: February 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gwendolyn Mellott Lcswc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN MELLOTT LCSWC (NPI 1124094602) is an individual clinical provider in Hagerstown, Maryland, licensed in Maryland (10663) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1124094602
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGWENDOLYN MELLOTTCredential: LCSWC
Location Address13218 BROOK LANE DRIVEHagerstown, MD 21742
Mailing Address13121 Brook LaneHagerstown, MD 21742-1514 · (301) 733-0331 · Fax (301) 733-4038
Phone(301) 733-0331
Fax(301) 733-4038
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateFebruary 20, 2018
✔ NPI 1124094602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 10663
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13218 BROOK LANE DRIVE, Hagerstown, MD 21742
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Secondary Practice Location 1

Location 113218 Brook Lane DriveHagerstown, MD 21742 · Phone (301) 733-0331 ext. 184 · Fax (301) 733-4038

Other Identifiers 1

Medicaid986965400MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn Mellott Lcswc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN E BURKE PHD
Psychologist (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
DEBORAH MALBERG LCSWC
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
CURTIS VANOVER LCSWC
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
JULIE EBERSOLE LCSWC
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
DANIEL REESER LCWSC
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
DANIEL HOROCHOWSKI LCSWC
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
KATHRYN MANWILLER LCSWC
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
LARRY BALES LCSWC
Social Worker (Clinical)
13218 BROOK LANE DRIVE
HAGERSTOWN, MD 21742
Washington County (301) 733-0331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Mellott's NPI number?

The NPI number for Gwendolyn Mellott is 1124094602. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Gwendolyn Mellott located?

Gwendolyn Mellott practices at 13218 Brook Lane Drive, Hagerstown, MD 21742. The listed phone number is (301) 733-0331.

What is Gwendolyn Mellott's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gwendolyn Mellott enrolled in Medicare?

Yes. Gwendolyn Mellott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gwendolyn Mellott was last updated on February 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.