Individual provider Active NPI

Melissa Christine Meisenbacher, LCSW

  • Social Worker
  • Point Pleasant Boro, NJ
National Provider Identifier
1114473105
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06019100 Issued in NJ
Practice address
2217 Kenneth Rd
Point Pleasant Boro, NJ 08742-4435
Phone
(732) 966-7696
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06019100 NJ Primary

Addresses

Primary practice location

2217 Kenneth Rd
Point Pleasant Boro, NJ 08742-4435

Mailing address

2217 Kenneth Rd
Point Pleasant Boro, NJ 08742-4435
Phone (732) 503-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170816001301 NJ Practitioner - Clinical Social Worker 0840562500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2217 Kenneth Rd
Point Pleasant Boro, NJ 08742-4435
Phone (732) 503-3102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06019100NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling LLC CurrentSince Sep 22, 2018 Accepting new patients

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1114473105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 KENNETH RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424435",
            "telephone_number": "732-503-3102",
            "fax_number": "732-746-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 KENNETH RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424435",
            "telephone_number": "732-966-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISENBACHER",
        "first_name": "MELISSA",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06019100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

Verify at the official NPI Registry.