Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Active since August 04, 2020

205 WILLOW ST STE B3A, SOUTH HAMILTON, MA 01982(978) 225-3430(978) 473-8883 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Aug 4, 2020 (2 updates tracked since 2020).

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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 South Hamilton, 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 Address205 WILLOW ST STE B3ASouth Hamilton, MA 01982-2253

Mailing AddressPo Box 97Groveland, MA 01834-0097 · (978) 225-3430 · Fax (978) 473-8883

Phone(978) 225-3430

Fax(978) 473-8883

Organization SubpartNo

Authorized OfficialMelissa McdormandOwner · (978) 225-3430

Enumeration DateAugust 4, 2020

Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ 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.

205 WILLOW ST STE B3A, South Hamilton, MA 01982

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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

Other Providers at the Same Location NPPES 5

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

CENTERED PERSPECTIVES THERAPY PLLC

Social Worker (Clinical)