Melynda Amorim, LCSW
Individual provider Active NPI Clinical Social Worker · Bowling Green, KY
NPI 1184034985 · NPPES record last updated May 17, 2021
Key facts
- NPI
- 1184034985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 252197 (KY)
- Practice address
- 1910 Lyda Ave
Bowling Green, KY 42104-3326 - Phone
- (270) 904-6567
- NPI assigned
- May 1, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Counseling Associates
Practice addresses (Care Compare)
104 Reynolds Rd
Glasgow, KY 42141-1177
Phone (270) 678-4801
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170117001191 | KY | Practitioner - Clinical Social Worker | 9234411893 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6778 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Counseling Associates | Clinical | Current |
Accepting new patients |
Locations
1910 Lyda Ave
Bowling Green, KY 42104
Phone (270) 479-6904
1600 Scottsville Rd
Ste 101
Bowling Green, KY 42104
Phone (270) 781-0028
1830 Destiny Ln
Ste 110
Bowling Green, KY 42104
Phone (270) 846-3338
1007 W Stockton St
Edmonton, KY 42129
Phone (270) 432-3171
104 Reynolds Rd
Glasgow, KY 42141
Phone (270) 678-4801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6778 | KY | |
| Clinical Social Worker | 1041C0700X | 252197 | KY | Yes |
Addresses
Primary practice location
1910 Lyda Ave
Bowling Green, KY 42104-3326
Mailing address
104 Reynolds Rd
Glasgow, KY 42141-1177
Phone (270) 678-4801
Other practice location 1
1600 Scottsville Rd Ste 101
Bowling Green, KY 42104-3217
Phone (270) 904-6567
Other practice location 2
1048 Ashley St Ste 201
Bowling Green, KY 42103-2449
Phone (270) 904-6567
Other providers in Bowling Green, KY
- American Health Management, Inc
- American Health Management, Inc.
- Akhtar Amin
- Amm Interpreting LLC
- Evans Collins Amoah
- Terri Hunt Amos
- Amy Brickler
- Anam Cara, LLC
- Anderson Aesthetics and Reconstructive Surgery PLLC
- Amelia Jane Anderson-Mooney
All providers in Bowling Green, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.