Individual provider Active NPI

Melissa A Hixson, LCSW

  • Clinical Social Worker
  • Newport, PA
National Provider Identifier
1104963263
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015801 Issued in PA
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

Updated by the provider on Feb 4, 2016

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 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

IdentifierTypeStateIssuer
102046048MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000433 PA Practitioner - Clinical Social Worker 2567526882 Reassigns benefits to 1 organization

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
Newport Counseling Center, LLCGroup PAC ID 6608930920, 7 clinicians

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

LicenseStateTypeSpecialty
CW015801PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Counseling Center, LLC Clinical CurrentSince Aug 18, 2018 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

Verify at the official NPI Registry.