Individual provider Active NPI

Melissa Lowe, LCSW

  • Clinical Social Worker
  • Bunnell, FL
National Provider Identifier
1154830024
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14618 Issued in FL
Practice address
301 Justice LN
Bunnell, FL 32110-4487
Phone
(386) 254-1135
NPI assigned
Sep 23, 2017
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14618 FL Primary

Addresses

Primary practice location

301 Justice LN
Bunnell, FL 32110-4487

Mailing address

908 Hibiscus Ave
Holly Hill, FL 32117-3418

Other practice location 1

4750 E Moody Blvd Ste 209
Bunnell, FL 32110-7711
Phone (386) 338-8103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180315000696 FL Practitioner - Clinical Social Worker 7214299064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14618FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Abm Counseling Center LLC Current Accepting new patients
Phoenix Primary Care LLC CurrentSince May 24, 2020 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

4750 E Moody Blvd
Ste 209
Bunnell, FL 32110
Phone (386) 338-8013

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

26B Office Park Dr
Palm Coast, FL 32137
Phone (386) 597-2861

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21865/brand/1/csg/21/fhir/r4

Organizations & group practices 3

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": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1154830024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 HIBISCUS AVE",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JUSTICE LN",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321104487",
            "telephone_number": "386-254-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 E Moody Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Bunnell",
            "state": "FL",
            "postal_code": "321107711",
            "country_code": "US",
            "telephone_number": "386-338-8103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

Verify at the official NPI Registry.