Melissa Desirae Futreal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005824 Issued in VA

Practice address

700 24TH St
BLDG 8130
Fort Lee, VA 23801-1716

Phone

(804) 734-9287

Fax

(757) 734-9188

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  VA

  Medicare reassignment Care Compare group NPD
• Mount Rogers Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wytheville, VA
  • NPI 1255365599
  Medicare reassignment NPD
• Center for Child & Family Services Inc

  • Community/Behavioral Health Agency
  • Newport News, VA
  • NPI 1972685774
  NPD (past)
• Center for Child and Family Services

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1295870202
  NPD (past)
• Colonial Behavioral Health

  • Health Maintenance Organization
  • Williamsburg, VA
  • NPI 1841556776
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1013937101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 ANDREWS BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236631104",
            "telephone_number": "757-593-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "address_2": "BLDG 8130",
            "city": "FORT LEE",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9287",
            "fax_number": "757-734-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUTREAL",
        "first_name": "MELISSA",
        "middle_name": "DESIRAE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Wayne Erickson, DDS
• Christopher S Ficke, P.T.
• Joy Elaine Finn, LPN
• Shenaye R Fontenot
• David Fulp
• Eleanor Law Gagon, M.D.
• Felicity Garrick, OTR/L
• Mary Gasser, MD
• Kerima A. Gibbons, LICSW, BCD
• Laurie Sue Giertz, PA-C

• Clinical Social Worker in Fort Lee, VA
• Providers in Fort Lee, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.