Melissa Dawn Smith, PRSS, CASE MANAGER
Individual provider Active NPI Case Manager/Care Coordinator · Maxwelton, WV
NPI 1104549526 · NPPES record last updated Jul 24, 2026
Key facts
- NPI
- 1104549526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 804 Industrial Park Rd
Maxwelton, WV 24957-8066 - Phone
- (888) 736-3229
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-9125 | WV | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes | ||
| Peer Specialist | 175T00000X | 21-9125 | WV |
Addresses
Primary practice location
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Mailing address
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (888) 736-3229
Other providers in Maxwelton, WV
- Marsha Dannielle Sheppard
- Mary Ann Shires
- Vickie L Shuff
- Christina Sims
- Demmi Smallwood
- Melissa Dawn Sparks
- Anna C Stout-Tuckwiller
- Dorian Mekele Swann
- Charles David Taylor
- Lindsay F Taylor
All providers in Maxwelton, WV · Case Manager/Care Coordinator in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.