Lisa Renee Melton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

412 S 14TH St
Herrin, IL 62948-3802

Phone

(618) 967-1790

Fax

(618) 351-4948

NPI assigned

Jun 21, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023054988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S 14TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483802",
            "telephone_number": "618-967-1790",
            "fax_number": "618-351-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S 14TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483802",
            "telephone_number": "618-967-1790",
            "fax_number": "618-351-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann McKiness, RBT
• Gaia Cosgrove McVey, LCPC
• Gillian McVicar, PA-C
• Wrophas Meeks, MD
• Karan Mehta, MD
• Cortney Dawn Meyer
• Michaelis Jackson & Associates, LLC
• Rachel Michels
• Midwest Ear Nose & Throat Clinic, S.C.
• Joshua James Miksanek, M.D.

• Clinical Social Worker in Herrin, IL
• Providers in Herrin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.