Active NPI
Melinda Jane Enright, LICSW
- Clinical Social Worker
- Minnetonka, MN
National Provider Identifier
1114270279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15949
- Practice address
- 3395 Plymouth Rd
Minnetonka, MN 55305-3765 - Phone
- (952) 939-0396
- Fax
- (952) 548-8760
- NPI assigned
- Oct 25, 2012
- Last updated
- Oct 25, 2012
- 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 | 15949 | MN | Primary |
Addresses
Primary practice location
3395 Plymouth Rd
Minnetonka, MN 55305-3765
Mailing address
3395 Plymouth Rd
Minnetonka, MN 55305-3765
Phone (952) 939-0396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15949 | MN | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1114270279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765",
"telephone_number": "952-939-0396",
"fax_number": "952-548-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765",
"telephone_number": "952-939-0396",
"fax_number": "952-548-8760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIGHT",
"first_name": "MELINDA",
"middle_name": "JANE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "15949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
- Martha Ruth Engelbrekt, MD
- Cynthia Diane Engelkes, M.A., L.A.M.F.T.
- Brittany Nicole Engelmann
- Meagan Evelyn Englert
- Gordon Dale Engstrand, D.D.S.
- ENT & Sleep Clinics Minnesota LLC
- Nam Yong Eom
- Epiphany Care Homes LLC (Steven's Residence)
- Equilibrium Brain Body Balance (Equilibrium)
- Ruth Anne Erdmann, MSCCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.