Daybreak Enterprises

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1140 Issued in NE

Legal business name

DAYBREAK ENTERPRISES

Doing business as

Melissa Adams LCSW

Practice address

702 W Koenig St
Grand Island, NE 68801-6556

Phone

(308) 381-0608

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Melissa Adams, LCSWNPI 1457430498

Title

Owner, Director

Phone

(308) 381-0608

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Melissa Adams LCSW Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa A Adams, LICSW

  • Clinical Social Worker
  • Grand Island, NE
  • NPI 1457430498
  Medicare reassignment Authorized official
• Sondra McKinney

  • Clinical Social Worker
  • Venus, TX
  • NPI 1417391640
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1215197801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688020763",
            "telephone_number": "308-381-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W KOENIG ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016556",
            "telephone_number": "308-381-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "308-381-0608",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025632200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Adams LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melissa Adams LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith R Davis
• Sherry Davis
• Eva Louise Dawson, OTR
• Mathew Boyd Day, M.D.
• Taylor Leigh Day
• Megan Deaver
• Deborah Grace Thimsen-Villa Dba Verigratia Counseling
• Debra Erickson, LLC
• Lisa C Degen, PA-C
• Nathaniel Deida

• Clinical Social Worker in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.