Individual provider Active NPI

Melanie Lea Danielson

  • Clinical Social Worker
  • Land O Lakes, FL
National Provider Identifier
1114793486
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW17122 Issued in FL
Practice address
22436 Southshore Dr
Land O Lakes, FL 34639-4638
Phone
(304) 654-7557
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 ISW17122 FL Primary

Addresses

Primary practice location

22436 Southshore Dr
Land O Lakes, FL 34639-4638

Mailing address

22436 Southshore Dr
Land O Lakes, FL 34639-4638
Phone (304) 654-7557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240724000762 OH Practitioner - Clinical Social Worker 6709322076 Reassigns benefits to 1 organization
I20241213001340 WV Practitioner - Clinical Social Worker 6709322076 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westbrook Health Services IncGroup PAC ID 3375443054, 31 clinicians

Practice addresses (Care Compare)

2121 7TH St
Parkersburg, WV 26101-3803
Phone (304) 485-1721

713 E Main St
Harrisville, WV 26362-1301
Phone (304) 643-2996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW17122FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychshift, LLC Clinical Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Recovery Resource Group Clinical CurrentSince Aug 1, 2026 Accepting new patients
Westbrook Health Services, Inc. Current Accepting new patients
Westbrook Health Services, Inc CurrentSince Nov 4, 2024 Accepting new patients
Reconstructed Minds, LLC CurrentSince Dec 3, 2023 Accepting new patients
Psychshift, LLC Clinical CurrentSince Jun 10, 2024 Accepting new patients
Elevate PD & Therapy Corp Clinical Past Accepting new patients

Locations

1123 S Davis Ave
Elkins, WV 26241
Phone (304) 636-2696

900 20th St
Huntington, WV 25703
Phone (681) 378-3908

204 8th St
Marlinton, WV 24954
Phone (202) 803-7979

2121 7th St
Parkersburg, WV 26101
Phone (304) 485-1721

Organizations & group practices 9

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1114793486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22436 SOUTHSHORE DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394638",
            "telephone_number": "304-654-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22436 SOUTHSHORE DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346394638",
            "telephone_number": "304-654-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "MELANIE",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW17122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.