Individual provider Active NPI

Melanie Bayer Witthoft

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1023426210
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20363 Issued in MN
Practice address
762 Transfer Road
21
St. Paul, MN 55114
Phone
(612) 337-4003
Fax
(612) 333-5614
NPI assigned
Jul 31, 2014
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20363 MN Primary

Addresses

Primary practice location

762 Transfer Road
21
St. Paul, MN 55114

Mailing address

762 Transfer Rd
21
Saint Paul, MN 55114-4506
Phone (612) 337-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20201013001261 MN Practitioner - Clinical Social Worker 0547688475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1611 County Rd B W
Suite 214
Roseville, MN 55113-4053
Phone (651) 414-1139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Healing & Counseling, LLC Clinical CurrentSince Sep 1, 2020 Accepting new patients

Locations

1611 County Road B W
Ste 214
Saint Paul, MN 55113
Phone (651) 217-8600

1884 Como Ave
Saint Paul, MN 55108
Phone (651) 217-8600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1023426210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 TRANSFER RD",
            "address_2": "21",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551144506",
            "telephone_number": "612-337-4003",
            "fax_number": "612-333-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 TRANSFER ROAD",
            "address_2": "21",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "612-337-4003",
            "fax_number": "612-333-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYER WITTHOFT",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.