Active NPI
Melissa A Hixson, LCSW
- Clinical Social Worker
- Newport, PA
National Provider Identifier
1104963263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015801
- Practice address
- 28 West Shortcut Road
Newport, PA 17074-8721 - Phone
- (717) 567-3524
- NPI assigned
- Jan 30, 2007
- 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 | CW015801 | PA | Primary |
Addresses
Primary practice location
28 West Shortcut Road
Newport, PA 17074-8721
Mailing address
28 West Shortcut Road
Newport, PA 17074-8721
Phone (717) 567-3524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102046048 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28 W Shortcut Rd
Newport, PA 17074-8721
Phone (717) 567-3524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW015801 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Counseling Center, LLC | Clinical | Current | Accepting new patients |
Locations
28 W Shortcut Rd
Newport, PA 17074
Phone (717) 567-3174
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": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1104963263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WEST SHORTCUT ROAD",
"city": "NEWPORT",
"state": "PA",
"postal_code": "170748721",
"telephone_number": "717-567-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WEST SHORTCUT ROAD",
"city": "NEWPORT",
"state": "PA",
"postal_code": "170748721",
"telephone_number": "717-567-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIXSON",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW015801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102046048",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.