Individual provider Active NPI

Meladie A Johnston, LCSW

  • Clinical Social Worker
  • Munster, IN
National Provider Identifier
1154633550
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009283A Issued in IN
Practice address
9250 Columbia Ave Ste 2E
Munster, IN 46321-3530
Phone
(219) 595-0043
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 34009283A IN Primary

Addresses

Primary practice location

9250 Columbia Ave Ste 2E
Munster, IN 46321-3530

Mailing address

9250 Columbia Ave Ste 2E
Munster, IN 46321-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210621001544 IN Practitioner - Clinical Social Worker 7810397353 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Indiana LLCGroup PAC ID 1153708086, 4 clinicians

Practice addresses (Care Compare)

10352 N 600
Aperion Care Demotte
Demotte, IN 46310-8959
Phone (219) 345-5211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthnet Inc CurrentSince Nov 18, 2024 Accepting new patients
Vitae Health Medical Indiana LLC Clinical CurrentSince Mar 1, 2026 Accepting new patients
Munster Behavioral Health, Inc CurrentSince Oct 1, 2022 Accepting new patients
Valley Oaks Health Inc CurrentSince May 5, 2021 Accepting new patients
Community Healthnet Inc CurrentSince Nov 18, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince May 5, 2021 Accepting new patients
Community Healthnet Inc Past Accepting new patients

Locations

10352 N 600 E
Demotte, IN 46310
Phone (219) 345-5211

3503 Martin Luther King Dr
Gary, IN 46409
Phone (219) 293-8843

1021 W 5th Ave
Gary, IN 46402

3900 Calhoun St
Gary, IN 46408
Phone (219) 293-8843

5927 Columbia Ave
Hammond, IN 46320
Phone (219) 321-9385

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

6100 Broadway
Merrillville, IN 46410
Phone 21988011908843

706 Ridge Rd
Ste B
Munster, IN 46321
Phone (219) 356-2240

Organizations & group practices 8

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": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1154633550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE STE 2E",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE STE 2E",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213530",
            "telephone_number": "219-595-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MELADIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009283A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.