Individual provider Active NPI

Melanie Miller

  • Clinical Social Worker
  • Hyannis, MA
National Provider Identifier
1174760219
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113807 Issued in MA
Practice address
206 Breeds Hill Rd
Hyannis, MA 02601-1881
Phone
(508) 790-2058
Fax
(508) 790-3988
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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 113807 MA Primary

Addresses

Primary practice location

206 Breeds Hill Rd
Hyannis, MA 02601-1881

Mailing address

206 Breeds Hill Rd
Hyannis, MA 02601-1881
Phone (508) 790-2058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091106000323 MA Practitioner - Clinical Social Worker 4688712904 Reassigns benefits to 1 organization
I20240702000235 NY Practitioner - Clinical Social Worker 4688712904 Reassigns benefits to 1 organization
I20250718002503 WA Practitioner - Clinical Social Worker 4688712904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

7 Sibley Rd
Winchendon, MA 01475-1056
Phone (508) 733-2732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113807MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Wa Psychiatry PC CurrentSince Apr 21, 2025 Accepting new patients
Talkspace Medical Services Ny PC CurrentSince Apr 26, 2024 Accepting new patients
Talkspace Provider Network PA CurrentSince Jun 20, 2025 Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children PastSince May 27, 2012 Accepting new patients

Locations

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 4

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1174760219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BREEDS HILL RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011881",
            "telephone_number": "508-790-2058",
            "fax_number": "508-790-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BREEDS HILL RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011881",
            "telephone_number": "508-790-2058",
            "fax_number": "508-790-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.