Active NPI
Melissa Elizabeth Hornbeck, LCSWA, LCAS
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1124624879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PO13861
- Practice address
- 130 Mason Farm Rd
Chapel Hill, NC 27514-4617 - Phone
- (984) 974-7198
- Fax
- (984) 974-4587
- NPI assigned
- Dec 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-25450 | NC | |
| Clinical Social Worker | 1041C0700X | PO13861 | NC | Primary |
Addresses
Primary practice location
130 Mason Farm Rd
Chapel Hill, NC 27514-4617
Mailing address
4307 Waterford Valley Dr Apt 1622
Durham, NC 27713-8322
Phone (704) 998-8623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-25450 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| PO13861 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cityblock Medical Practice, P.a. | Current | Accepting new patients |
Locations
4444 The Plaza
Unit 18
Charlotte, NC 28215
495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001
495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676
Interoperability endpoints
- melissa.hornbeck.1@27775.direct.athenahealth.com
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": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1124624879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4307 WATERFORD VALLEY DR APT 1622",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138322",
"telephone_number": "704-998-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MASON FARM RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144617",
"telephone_number": "984-974-7198",
"fax_number": "984-974-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBECK",
"first_name": "MELISSA",
"middle_name": "ELIZABETH",
"credential": "LCSWA, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-25450",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "PO13861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.