Individual provider Active NPI

Melissa Hall, LMSW

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1023789310
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109171 Issued in MI
Practice address
735 S Garfield Ave
Traverse City, MI 49686-3489
Phone
(231) 267-8296
Fax
(231) 368-6270
NPI assigned
Sep 26, 2021
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 6801109171 MI Primary

Addresses

Primary practice location

735 S Garfield Ave
Traverse City, MI 49686-3489

Mailing address

806 Hastings St Ste F
Traverse City, MI 49686-3400
Phone (231) 267-8296

Other practice location 1

806 Hastings St Ste F
Traverse City, MI 49686-3400
Phone (231) 267-8296

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
I20230608002423 MI Practitioner - Clinical Social Worker 7416314232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honeybee Mental WellnessGroup PAC ID 3476082579, 2 clinicians

Practice addresses (Care Compare)

806 Hastings St
Suite F
Traverse City, MI 49686-3400
Phone (231) 267-8296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109171MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Honeybee Mental Wellness Clinical CurrentSince Nov 12, 2024 Accepting new patients
Illuminate My Life Counseling Clinical PastSince Oct 1, 2021 Accepting new patients

Locations

806 Hastings St
Ste F
Traverse City, MI 49686
Phone (231) 267-8296

Organizations & group practices 2

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": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1023789310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HASTINGS ST STE F",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863400",
            "telephone_number": "231-267-8296",
            "fax_number": "231-368-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863489",
            "telephone_number": "231-267-8296",
            "fax_number": "231-368-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Hastings St Ste F",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863400",
            "country_code": "US",
            "telephone_number": "231-267-8296",
            "fax_number": "231-368-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MELISSA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.