Active NPI
Melissa Passon, LCSW
- Clinical Social Worker
- Carmel, IN
National Provider Identifier
1063955698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006911A
- Practice address
- 697 Pro-Med LN
Carmel, IN 46032-5323 - Phone
- (317) 574-1254
- Fax
- (317) 674-0060
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006911A | IN | Primary |
Addresses
Primary practice location
697 Pro-Med LN
Carmel, IN 46032-5323
Mailing address
9615 E 148TH St
Suite 1
Noblesville, IN 46060-4360
Phone (317) 587-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1063955698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 E 148TH ST",
"address_2": "SUITE 1",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604360",
"telephone_number": "317-587-0500",
"fax_number": "317-674-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 PRO-MED LN",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325323",
"telephone_number": "317-574-1254",
"fax_number": "317-674-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSON",
"first_name": "MELISSA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006911A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.