IndividualActive
Gwendolyn Mellott, LCSWC
NPI 1124094602 · Clinical Social Worker · Hagerstown, MD
Provider details
- NPI number
- 1124094602
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSWC
- Sex
- Female
- Sole proprietor
- No
- License
- 10663 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13215 Brook Lane
Hagerstown, MD 21742-1514
Phone: (301) 733-0331
Fax: (301) 733-4038
Street-level locationGet directions
Mailing address
13121 Brook Lane
Hagerstown, MD 21742-1514
Additional practice locations (1)
- 13218 Brook Lane DriveHagerstown, MD 21742Phone: (301) 733-0331Fax: (301) 733-4038
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2018-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.