MEDICARE: MELISSA A WILKINS LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	05114	MD
2	104100000X	Social Worker	05114	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	248271	OTHER	MD	MAMSI ID
2	42273102	OTHER	MD	CAREFIRST MD PLAN
3	36140007	OTHER	MD	CAREFIRST DC PLAN
4	725787	OTHER	MD	NCPPO

General Provider Information

NPI Number	:	1982790424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A WILKINS LCSW-C

Provider Business Mailing Address
First Line	:	9559 HIGHWIND COURT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045
Country	:	US
Telephone Number	:	410-730-6872
Fax Number	:

Provider Business Practice Location Address
First Line	:	10630 LITTLE PATUXENT PARKWAY
Second Line	:	STE 214
City	:	COLUMBIA
State	:	MD
Zip	:	21044-3202
Country	:	US
Telephone Number	:	410-740-5211
Fax Number	:	410-740-0332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	09/11/2025

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