Individual provider Active NPI

Melba Chitanda

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1134901234
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109446 Issued in TX
Practice address
3901 Arlington Highlands Blvd Ste 200
Arlington, TX 76018-6050
Phone
(214) 774-4924
Fax
(661) 727-0006
NPI assigned
Oct 16, 2023
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 109446 TX Primary
Case Manager/Care Coordinator 171M00000X TX

Addresses

Primary practice location

3901 Arlington Highlands Blvd Ste 200
Arlington, TX 76018-6050

Mailing address

3901 Arlington Highlands Blvd Ste 200
Arlington, TX 76018-6050
Phone (214) 774-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240429000993 TX Practitioner - Clinical Social Worker 2668812348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

1880 N Stonebridge Dr
Suite 230
McKinney, TX 75071-7562
Phone (972) 954-5547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109446TXMDSpeech-Language Pathologist

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, 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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1134901234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186050",
            "telephone_number": "214-774-4924",
            "fax_number": "661-727-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ARLINGTON HIGHLANDS BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186050",
            "telephone_number": "214-774-4924",
            "fax_number": "661-727-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITANDA",
        "first_name": "MELBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109446",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.