Active NPI
Melissa Leigh Granville, LLMSW
- Social Worker
- Chicago, IL
National Provider Identifier
1164080511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851118604
- Practice address
- 205 N Michigan Ave Ste 810
Chicago, IL 60601-5902 - Phone
- (269) 364-5779
- NPI assigned
- May 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851118604 | MI | Primary |
Addresses
Primary practice location
205 N Michigan Ave Ste 810
Chicago, IL 60601-5902
Mailing address
205 N Michigan Ave Ste 810
Chicago, IL 60601-5902
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 |
|---|---|---|---|
| 6851118604 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1164080511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N MICHIGAN AVE STE 810",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N MICHIGAN AVE STE 810",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015902",
"telephone_number": "269-364-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANVILLE",
"first_name": "MELISSA",
"middle_name": "LEIGH",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-31",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851118604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.