Melissa Phelps, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

255266 Issued in KY

Practice address

600 S Preston St
Louisville, KY 40202-1716

Phone

(502) 583-3951

Fax

(502) 581-9234

NPI assigned

May 23, 2012

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melissa Phelps Professional name

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Isaiah House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Willisburg, KY
  • NPI 1396086559
  Medicare reassignment NPD
• Seven Counties Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Louisville, KY
  • NPI 1598793671

  Clinical

  Medicare reassignment NPD
• Isaiah House, Inc

  dba Greg Bowen Center

  • Substance Abuse Rehabilitation Facility
  • Chaplin, KY
  • NPI 1124521315
  NPD (past)
• Volunteers of America Mid-States

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1063857373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1184984239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233842",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PRESTON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021716",
            "telephone_number": "502-583-3951",
            "fax_number": "502-581-9234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Spring St",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303452",
            "country_code": "US",
            "telephone_number": "812-206-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1436 S Shelby St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171107",
            "country_code": "US",
            "telephone_number": "502-635-4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PHELPS",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• PHC Buyer, LLC
• PHC-Cleveland LLC (Bolivar Medical Center)
• Alec Marshall Phelps
• James Stewart Phelps, ATR
• Margaret Phelps
• Michael Wood Phelps Sr.
• Steven D Phelps, LMFT
• James Frederick Phifer, PH.D.
• Diajiah Philidor, RN
• Philip J. Feitelson, M.D. PSC

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.