Individual provider Active NPI

Mellissa Ann Duttle, LCSWA

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1033842406
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017634 Issued in NC
Practice address
356 Biltmore Ave
Asheville, NC 28801-4504
Phone
(828) 394-5574
NPI assigned
Jul 5, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 P017634 NC Primary

Addresses

Primary practice location

356 Biltmore Ave
Asheville, NC 28801-4504

Mailing address

1635 Havemeyer LN
Redondo Beach, CA 90278-4714
Phone (310) 867-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250821002284 NC Practitioner - Clinical Social Worker 5294235560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rha Health Services IncGroup PAC ID 8426196072, 55 clinicians

Practice addresses (Care Compare)

356 Biltmore Ave
Suite 200
Asheville, NC 28801-4558
Phone (828) 254-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P017634NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince May 31, 2025 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc CurrentSince May 31, 2025 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince May 31, 2025 Accepting new patients
Rha Health Services, Inc. CurrentSince May 31, 2025 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

356 Biltmore Ave
Ste 200
Asheville, NC 28801
Phone (828) 228-7512

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Organizations & group practices 5

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1033842406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HAVEMEYER LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784714",
            "telephone_number": "310-867-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014504",
            "telephone_number": "828-394-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTLE",
        "first_name": "MELLISSA",
        "middle_name": "ANN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.