Individual provider Active NPI

Melanie Kolbe Perkins, LISW

  • Clinical Social Worker
  • West Burlington, IA
National Provider Identifier
1124385125
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007830 Issued in IA
Practice address
400 S. Broadway Ave
West Burlington, IA 52655
Phone
(319) 768-5858
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L7773 OR
Clinical Social Worker 1041C0700X 007830 IA Primary

Addresses

Primary practice location

400 S. Broadway Ave
West Burlington, IA 52655

Mailing address

400 S. Broadway
West Burlington, IA 52655
Phone (319) 850-2215

Other names 1

  • Melanie Kolbe Wiegard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230718003668 IA Practitioner - Clinical Social Worker 0840650149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Southeastern Iowa IncGroup PAC ID 4486562527, 24 clinicians

Practice addresses (Care Compare)

1706 W Agency Rd
West Burlington, IA 52655-1667
Phone (319) 768-5858

400 N 17TH St
Keokuk, IA 52632-3452
Phone (319) 524-5734

408 W Van Weiss Blvd
RM 159
West Burlington, IA 52655-1500
Phone (319) 768-5858

545 Ramsey St
West Burlington, IA 52655-1113
Phone (319) 768-5858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007830IAMDClinical Social Worker
L7773ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Southeastern Iowa Inc CurrentSince Jun 10, 2025 Accepting new patients
Community Health Centers of Southeastern Iowa, Inc CurrentSince Jun 10, 2025 Accepting new patients

Locations

400 S Broadway St
Burlington, IA 52601
Phone (319) 752-4000

1706 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-5858

Organizations & group practices 2

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1124385125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S. BROADWAY",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "52655",
            "telephone_number": "319-850-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. BROADWAY AVE",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "52655",
            "telephone_number": "319-768-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "MELANIE",
        "middle_name": "KOLBE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "WIEGARD",
            "middle_name": "KOLBE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.