Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randall R Melvin, LCSWBCD

Individual provider Clinical Social Worker · NPI 1669495974

Randall R Melvin, LCSWBCD is a Clinical Social Worker in Portland, Maine. Qualified in 1981, 45 years ago. Practices as a sole proprietor. Licensed in Maine.

Years since qualifying
45
Licensed in
ME
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

465 Congress St Ste 700
Portland, ME 04101-3528
Phone: (207) 773-2828
Fax: (207) 761-8150
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC4787 (ME)

Record details

NPI number1669495974
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWBCD
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Portland