Melissa Gail Picon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106372 Issued in TX

Practice address

36065 Sante Fe Ave
Fort Cavazos, TX 76544

Phone

(254) 458-3615

NPI assigned

Jul 24, 2024

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1043048762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 REED LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422614",
            "telephone_number": "254-458-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTE FE AVE",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-458-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICON",
        "first_name": "MELISSA",
        "middle_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Perez, PHD
• Scott Collin Petersen, MD
• David Pettinato, DO
• Matthew Pflipsen, M.D.
• Ky D Pham, MD
• Sara Hope Porter, RN
• James Allen Powell, PSY.D.
• Daniel E Powers, LCSW
• Carlos Enrique Quezada, M.D.
• Rohini Rajnarayanan, MD

• Clinical Social Worker in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.