Individual provider Active NPI

Melissa Stein, LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1053905281
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09925332 Issued in CO
Practice address
2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195
Phone
(719) 540-2146
NPI assigned
Feb 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 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 CSW.09925332 CO Primary

Addresses

Primary practice location

2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195

Mailing address

2860 S Circle Dr Ste 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2146

Other practice location 1

1304 Spruce Ridge Ln
Woodland Park, CO 80863-2452
Phone (719) 433-3740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220302000457 CO Practitioner - Clinical Social Worker 6901290246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

2860 S Circle Dr
Suite 109
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09925332COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Nov 17, 2021 Accepting new patients
Family Care Center, LLC CurrentSince Nov 17, 2021 Accepting new patients

Locations

2860 S Circle Dr
Ste 310
Colorado Springs, CO 80906

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

3715 Parkmoor Village Dr
Ste 102
Colorado Springs, CO 80917
Phone (719) 540-2127

471 S Baldwin St
Ste 200
Woodland Park, CO 80863

Organizations & group practices 2

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": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1053905281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064195",
            "telephone_number": "719-540-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 S CIRCLE DR STE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064195",
            "telephone_number": "719-540-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Spruce Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "CO",
            "postal_code": "808632452",
            "country_code": "US",
            "telephone_number": "719-433-3740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09925332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.