Individual provider Active NPI

Melenda Kunst, SW21903

  • Clinical Social Worker
  • Port Saint Lucie, FL
National Provider Identifier
1063094779
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21903 Issued in FL
Practice address
2566 SW Abate St
Port Saint Lucie, FL 34953-2558
Phone
(772) 626-2941
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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 SW21903 FL Primary

Addresses

Primary practice location

2566 SW Abate St
Port Saint Lucie, FL 34953-2558

Mailing address

2566 SW Abate St
Port Saint Lucie, FL 34953-2558
Phone (772) 626-2941

Other names 1

  • Melenda Schulz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231017003670 FL Practitioner - Clinical Social Worker 9830544428 Practice locations: Port Saint Lucie, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1775 SW Gatlin Blvd
Suite 205
Port Saint Lucie, FL 34953-2794
Phone (772) 626-2941

2566 SW Abate St
Port Saint Lucie, FL 34953-2558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW21903FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Counseling LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

1775 SW Gatlin Blvd
Ste 205
Port St Lucie, FL 34953
Phone (772) 626-2941

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1063094779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 SW ABATE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532558",
            "telephone_number": "772-626-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 SW ABATE ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532558",
            "telephone_number": "772-626-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNST",
        "first_name": "MELENDA",
        "credential": "SW21903",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELENDA",
            "last_name": "SCHULZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.