Individual provider Active NPI

Melissa Kay Flood, LICSW, ACSW, BCD

  • Clinical Social Worker
  • Minot, ND
National Provider Identifier
1205897634
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4505 Issued in ND
Practice address
901 15TH Ave SE
Minot, ND 58701-5997
Phone
(701) 852-7100
NPI assigned
Mar 28, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4505NDMDPharmacist

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

Verify at the official NPI Registry.