Active NPI
Ashley Elizabeth Melchor, LLMSW
- Developmental Therapist
- Detroit, MI
National Provider Identifier
1134980733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 4856 Roosevelt St.
Detroit, MI 48208 - Phone
- (313) 310-5595
- NPI assigned
- Jan 19, 2024
- Last updated
- Jan 19, 2024
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851117674 | MI | |
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
4856 Roosevelt St.
Detroit, MI 48208
Mailing address
4856 Roosevelt St
Detroit, MI 48208-1844
Phone (313) 310-5595
Other names 1
- Ashley Butler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851117674 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1134980733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 ROOSEVELT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081844",
"telephone_number": "313-310-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4856 ROOSEVELT ST.",
"city": "DETROIT",
"state": "MI",
"postal_code": "48208",
"telephone_number": "313-310-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHOR",
"first_name": "ASHLEY",
"middle_name": "ELIZABETH",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851117674",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "BUTLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Detroit, MI
- Bianca Mejia Juarez, DMD
- Belkis Lorena Mejia-Clayton, LMSW-C
- Tariq A Mekkaoui, DO
- Mel Bornstein Clinic of Detroit
- Jaclyn Emma Melasi, GC
- Maritza Melendez
- Drew Melesky, MA, TLLP
- Michael Rony Melhem, MD
- Meljoys Human Services , Inc (Caring Hand Home Care /MJS Ambulance /MJS Transportation)
- Antoine Elie Melkane, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.