Individual provider Active NPI

Melissa Hill

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1194160747
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008547 Issued in VA
Practice address
5704 Aspen CT
Virginia Beach, VA 23464-3902
Phone
(518) 727-5245
NPI assigned
May 8, 2013
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082203 NY
Clinical Social Worker 1041C0700X 0904008547 VA Primary

Addresses

Primary practice location

5704 Aspen CT
Virginia Beach, VA 23464-3902

Mailing address

5704 Aspen CT
Virginia Beach, VA 23464-3902
Phone (518) 727-5245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201215003048 VA Practitioner - Clinical Social Worker 5991117954 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082203NYMDClinical Social Worker
0904008547VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Fountain, LLC Clinical CurrentSince Oct 30, 2020 Accepting new patients

Locations

291 Independence Blvd
Ste 240
Virginia Beach, VA 23462
Phone (757) 486-1807

762 Independence Blvd
Ste 100C
Virginia Beach, VA 23455
Phone (757) 268-6211

Organizations & group practices 1

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1194160747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 ASPEN CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643902",
            "telephone_number": "518-727-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 ASPEN CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643902",
            "telephone_number": "518-727-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082203",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.