Individual provider Active NPI

Caryn Melotti, LMSW

  • Clinical Social Worker
  • Owosso, MI
National Provider Identifier
1023184405
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1555 Industrial Dr
Owosso, MI 48867-9775
Phone
(989) 723-6791
Fax
(989) 725-5061
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801086159 MI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1555 Industrial Dr
Owosso, MI 48867-9775

Mailing address

1555 Industrial Dr
Owosso, MI 48867-9775
Phone (989) 723-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20200717003135 MI Practitioner - Clinical Social Worker 5597189928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shiawassee County Community Mental Health AuthorityGroup PAC ID 6002702750, 10 clinicians

Practice addresses (Care Compare)

1555 Industrial Dr
Owosso, MI 48867-9775
Phone (989) 723-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086159MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shiawassee County Community Mental Health Authority CurrentSince May 1, 2023 Accepting new patients

Locations

1555 Industrial Dr
Owosso, MI 48867
Phone (989) 723-0732

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1023184405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDUSTRIAL DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679775",
            "telephone_number": "989-723-6791",
            "fax_number": "989-725-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 INDUSTRIAL DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679775",
            "telephone_number": "989-723-6791",
            "fax_number": "989-725-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOTTI",
        "first_name": "CARYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-05-01",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086159",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.