Individual provider Active NPI

Melissa M. Cranfill, LCSW

  • Clinical Social Worker
  • Sutter Creek, CA
National Provider Identifier
1184843666
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23527 Issued in CA
Practice address
10877 Conductor Blvd Suite 300
Sutter Creek, CA 95685-9682
Phone
(209) 223-6412
Fax
(209) 223-0920
NPI assigned
Apr 24, 2007
Last updated
Oct 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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 LCS23527 CA Primary

Addresses

Primary practice location

10877 Conductor Blvd Suite 300
Sutter Creek, CA 95685-9682

Mailing address

10877 Conductor Blvd, Suite 300
Sutter Creek, CA 95685-9682
Phone (209) 223-6412

Other identifiers 1

IdentifierTypeStateIssuer
LCS23527OtherCACLINICAL SOCIAL WORKER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140326000677 CA Practitioner - Clinical Social Worker 7012148570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS23527CAMDClinical Social Worker
23527CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
County of Amador CurrentSince Aug 18, 2019 Accepting new patients

Locations

10877 Conductor Blvd
Ste 300
Sutter Creek, CA 95685
Phone (209) 223-6412

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, 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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1184843666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD, SUITE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859682",
            "telephone_number": "209-223-6412",
            "fax_number": "209-223-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD SUITE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859682",
            "telephone_number": "209-223-6412",
            "fax_number": "209-223-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANFILL",
        "first_name": "MELISSA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER",
            "identifier": "LCS23527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

Verify at the official NPI Registry.