Individual provider Active NPI

Melanie Grieco, LCSW

  • Clinical Social Worker
  • Worcester, MA
National Provider Identifier
1104239581
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11372 Issued in CT
Practice address
340 Main St Ste 818
Worcester, MA 01608-1692
Phone
(508) 791-4976
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210316001070 CT Practitioner - Clinical Social Worker 7517373608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11372CTMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Change Counseling, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Nafi Connecticut Inc. CurrentSince Feb 11, 2026 Accepting new patients
South Bay Mental Health Center, Inc. PastSince Jun 27, 2018 Accepting new patients

Locations

6 Ledgebrook Dr
Ste C
Mansfield Center, CT 06250
Phone (860) 833-2657

54 North St
Willimantic, CT 06226
Phone (860) 450-0151

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/perceptionprograms/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11372 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

340 Main St Ste 818
Worcester, MA 01608-1692

Mailing address

54 North St
Willimantic, CT 06226-2528
Phone (860) 381-0650

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2021.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1104239581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 NORTH ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262528",
            "telephone_number": "860-381-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAIN ST STE 818",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081692",
            "telephone_number": "508-791-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIECO",
        "first_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.