Individual provider Active NPI

Melinda Elaine Stewart, LICSW

  • Clinical Social Worker
  • Littleton, MA
National Provider Identifier
1144254533
Registry record updated Oct 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1132225 Issued in MA
Practice address
17 Stevens St
Littleton, MA 01460-1934
Phone
(978) 302-5940
Fax
(978) 600-0286
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2016

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 1132225 MA Primary
Clinical Social Worker 1041C0700X 113225 MA

Addresses

Primary practice location

17 Stevens St
Littleton, MA 01460-1934

Mailing address

17 Stevens St
Littleton, MA 01460-1934
Phone (978) 302-5940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091008000140 MA Practitioner - Clinical Social Worker 4486790268 Practice locations: Littleton, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1132225MAMDClinical Social Worker
113225MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476489600000",
    "number": "1144254533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STEVENS ST",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601934",
            "telephone_number": "978-302-5940",
            "fax_number": "978-600-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STEVENS ST",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601934",
            "telephone_number": "978-302-5940",
            "fax_number": "978-600-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MELINDA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1132225",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, MA

Sources for this page

Verify at the official NPI Registry.