Melissa Lee Hale, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2017038749 Issued in MO

Practice address

10672 US Highway 61
Jackson, MO 63755-7171

Phone

(573) 837-7144

Fax

(636) 333-4510

NPI assigned

Sep 23, 2019

Last updated

Dec 31, 2023By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Saint Louis University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Immediate Convenient Care LLCGroup PAC ID 0648313486, 23 clinicians

Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Discovery Service LLC

  • Clinical Social Worker
  • Jackson, MO
  • NPI 1770169765
  Medicare reassignment NPD Authorized official
• Saint Francis Medical Center

  dba Saint Francis Medical Center Anesthesia

  • Anesthesiology Physician
  • Cape Girardeau, MO
  • NPI 1356304489

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Saint Francis Medical Center

  dba Saint Francis Clinic Jackson

  • Rural Health Clinic/Center
  • Jackson, MO
  • NPI 1598186157

  Single Specialty

  NPD
• Saint Francis Medical Center

  dba Saint Francis Clinic Jackson

  • Clinic/Center
  • Jackson, MO
  • NPI 1992502975
  NPD

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1063063956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "POCAHONTAS",
            "state": "MO",
            "postal_code": "637790100",
            "telephone_number": "573-837-7144",
            "fax_number": "636-333-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10672 US HIGHWAY 61",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637557171",
            "telephone_number": "573-837-7144",
            "fax_number": "636-333-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637035049",
            "country_code": "US",
            "telephone_number": "573-331-3177 x3179",
            "fax_number": "573-331-3178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017038749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE CURRENTLY",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Erickson, LLC
• Susannah Grovenor, SLP
• Guardian Angels Homecare, LLC
• Guardian Angels in Home Services, LLC
• Mary Elizabeth Haas
• Haley Wills Counseling, LLC
• Christina Diane Hart, PHARMD
• Judy L Hart
• Cathlin Hayes
• Nicole R Hazelwood, CRNA

• Clinical Social Worker in Jackson, MO
• Providers in Jackson, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; 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.