Individual provider · Type 1 NPI

Gwendolyn Mellott, LCSWC

Clinical Social Worker · Hagerstown, MD

NPI number 1124094602 Active

Practice location

13215 Brook Lane
Hagerstown, MD 21742-1514

Fax (301) 733-4038

Mailing address

13121 Brook Lane
Hagerstown, MD 21742-1514

Other practice locations

  • 13218 Brook Lane Drive, Hagerstown, MD 21742 · (301) 733-0331

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10663 (MD)

Clinical Social Worker: 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 interpers…

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About NPI 1124094602

Gwendolyn Mellott, LCSWC's National Provider Identifier is 1124094602, issued on Feb 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hagerstown, MD. The record was last updated on Feb 20, 2018.