Melanie Lee Cicmil Winterfeldt, LGSW
Individual provider Active NPI Social Worker · Hibbing, MN
NPI 1043567167 · NPPES record last updated Nov 6, 2012
Key facts
- NPI
- 1043567167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 21684 (MN)
- Practice address
- 3203 W. 3Rd Ave.
Hibbing, MN 55746 - Phone
- (218) 263-9237
- Fax
- (218) 262-3150
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northern Perspectives Psychological Services
Practice addresses (Care Compare)
430 E Pearson Ave
Nashwauk, MN 55769-1146
Phone 2183011010101
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150423002657 | MN | Practitioner - Clinical Social Worker | 6406175496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21684 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Perspectives Psychological Services | Current |
Accepting new patients | |
| Range Mental Health Center Inc | Past | Accepting new patients | |
| Range Mental Health Center Inc | Past | Accepting new patients |
Locations
15 NE 5th St
Grand Rapids, MN 55744
Phone (218) 259-7792
430 E Pearson Ave
Nashwauk, MN 55769
Phone (218) 301-1010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 21684 | MN | Yes |
Addresses
Primary practice location
3203 W. 3Rd Ave.
Hibbing, MN 55746
Mailing address
624 W. 13TH St.
P.O. Box 1188
Virginia, MN 55792
Phone (218) 749-2881
Other names
- Melanie Lee Cicmil
Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.