Active NPI
Linda Melnick, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1184768673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12989
- Practice address
- Mobile Location
Travis County
Austin, TX 78749-2860 - Phone
- (512) 689-5728
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 12989 | TX | |
| Clinical Social Worker | 1041C0700X | 12989 | TX | Primary |
Addresses
Primary practice location
Mobile Location
Travis County
Austin, TX 78749-2860
Mailing address
5904 Blanco River Pass
Austin, TX 78749-2860
Phone (512) 689-5728
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090GB | Other | TX | BLUE CROSS BLUE SHEILD |
| 00S96N | Other | TX | BLUE CROSS BLUE SHEILD |
| 1083180-03 | Medicaid | TX | |
| 108318001 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12989 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Child Guidance Center | Past | Accepting new patients | |
| Transitions Neuropsychology of Austin | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Austin, TX
- NPI 1912054776
-
- Psychologist
- Austin, TX
- NPI 1871132118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1184768673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5904 BLANCO RIVER PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787492860",
"telephone_number": "512-689-5728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MOBILE LOCATION",
"address_2": "TRAVIS COUNTY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787492860",
"telephone_number": "512-689-5728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNICK",
"first_name": "LINDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2024-11-12",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "12989",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "12989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0090GB",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "00S96N",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083180-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108318001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.