Active NPI
Melinda Nichols
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1043796907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801096901
- Practice address
- 615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501 - Phone
- (269) 553-7101
- Fax
- (269) 373-4951
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801096901 | MI | Primary |
Addresses
Primary practice location
615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Mailing address
615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Phone (269) 553-7101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsea a Howell PLLC | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1043796907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E CROSSTOWN PKWY",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490012501",
"telephone_number": "269-553-7101",
"fax_number": "269-373-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E CROSSTOWN PKWY",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490012501",
"telephone_number": "269-553-7101",
"fax_number": "269-373-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "MELINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801096901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.