Individual provider Active NPI

Melissa D McKinney, LCSW

  • Clinical Social Worker
  • Alexandria, LA
National Provider Identifier
1053966291
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11949 Issued in LA
Practice address
4606 Lee St
Alexandria, LA 71302-3235
Phone
(318) 441-1105
Fax
(318) 441-2251
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 11949 LA Primary

Addresses

Primary practice location

4606 Lee St
Alexandria, LA 71302-3235

Mailing address

4606 Lee St
Alexandria, LA 71302-3235
Phone (318) 441-1105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240508003561 LA Practitioner - Clinical Social Worker 5092156042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Inspired Counseling and Consulting LLCGroup PAC ID 8426497306, 12 clinicians

Practice addresses (Care Compare)

1412 Peterman Dr
Alexandria, LA 71301-3432
Phone 31826670212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Be Inspired Counseling & Consulting LLC CurrentSince May 1, 2024 Accepting new patients

Locations

5501 Jackson St
Alexandria, LA 71303
Phone (318) 266-7021

1412 Peterman Dr
Alexandria, LA 71301
Phone (318) 266-7021

2220 Shreveport Hwy
Pineville, LA 71360
Phone (318) 266-7021

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1053966291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 LEE ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023235",
            "telephone_number": "318-441-1105",
            "fax_number": "318-441-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 LEE ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713023235",
            "telephone_number": "318-441-1105",
            "fax_number": "318-441-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.