Melissa L. Edelmayer, MSW, LISW-S, LICDC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1000341.SUPV Issued in OH

Practice address

540 Officenter PL
Suite 270
Gahanna, OH 43230-5317

Phone

(614) 664-3595

Fax

(614) 664-3595

NPI assigned

Aug 14, 2012

Last updated

Sep 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Osu General Internal Medicine LLC

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1689919599
  Medicare reassignment Care Compare group
• Providers for Healthy Living

  • Psychiatry Physician
  • Hilliard, OH
  • NPI 1811560899
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1053668681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OFFICENTER PL STE 160",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305352",
            "telephone_number": "614-664-3595",
            "fax_number": "614-664-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OFFICENTER PL",
            "address_2": "SUITE 270",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305317",
            "telephone_number": "614-664-3595",
            "fax_number": "614-664-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAYER",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "credential": "MSW, LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.161327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1000341.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M Dyriw, PT, DPT, OCS, SCS
• Nicholas Jayme Eastman, MD
• Ebe Healthcare, LLC
• Sasha Eby, DMD
• Echo Hospice of Ohio, LLC
• Barbara Edison, LPN
• Edmiston Counseling LLC
• Mary Anne Edmiston, MSW, LISW
• Mashavu Edmondson, MT
• Jessica Lyn Edwards, PT, DPT

• Clinical Social Worker in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.