Active NPI
Melissa Kay Flood, LICSW, ACSW, BCD
- Clinical Social Worker
- Minot, ND
National Provider Identifier
1205897634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4505
- Practice address
- 901 15TH Ave SE
Minot, ND 58701-5997 - Phone
- (701) 852-7100
- NPI assigned
- Mar 28, 2006
- Last updated
- Jan 6, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4505 | ND | Primary |
Addresses
Primary practice location
901 15TH Ave SE
Minot, ND 58701-5997
Mailing address
901 15TH Ave SE
Minot, ND 58701-5997
Phone (701) 852-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110124001199 | ND | Practitioner - Clinical Social Worker | 0648459503 | Practice locations: Minot, ND |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1705 4TH Ave NW
Minot, ND 58703-2912
Phone (701) 839-0474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4505 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1205897634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 15TH AVE SE",
"city": "MINOT",
"state": "ND",
"postal_code": "587015997",
"telephone_number": "701-852-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 15TH AVE SE",
"city": "MINOT",
"state": "ND",
"postal_code": "587015997",
"telephone_number": "701-852-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOOD",
"first_name": "MELISSA",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "LICSW, ACSW, BCD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "4505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.