MELISSA MCDORMAND LICSW, LLC
NPI 1417567595
Social Worker - Clinical in Beverly, MA

Active since August 04, 2020
900 CUMMINGS CTR STE 416V, BEVERLY, MA 01915(978) 225-3430(978) 473-8883 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Melissa Mcdormand Licsw, Llc NPPES

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

MELISSA MCDORMAND LICSW, LLC (NPI 1417567595) is a healthcare organization registered as a clinical in Beverly, Massachusetts and active in the NPI registry since August 2020. The organization lists Melissa Mcdormand, Owner, as its authorized official.

NPPES Registry Identity

NPI1417567595
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMELISSA MCDORMAND LICSW, LLC
Location Address900 CUMMINGS CTR STE 416VBeverly, MA 01915-6184
Mailing AddressPo Box 97Groveland, MA 01834-0097 · (978) 225-3430 · Fax (978) 473-8883
Fax(978) 473-8883
Organization SubpartNo
Authorized OfficialMelissa McdormandOwner · (978) 225-3430
Enumeration DateAugust 4, 2020
NPPES CertifiedAugust 4, 2020
NPI 1417567595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
900 CUMMINGS CTR STE 416V, Beverly, MA 01915

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Melissa Mcdormand Licsw, LLC's NPI number?

The NPI number for Melissa Mcdormand Licsw, LLC is 1417567595. It was assigned to this organization in the NPPES registry on August 4, 2020.

Where is Melissa Mcdormand Licsw, LLC located?

Melissa Mcdormand Licsw, LLC is located at 900 Cummings Ctr Ste 416V, Beverly, MA 01915. The listed phone number is (978) 225-3430.

What is Melissa Mcdormand Licsw, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Melissa Mcdormand Licsw, LLC was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.