Individual provider Active NPI

Melissa K Murray, LCSW

  • Clinical Social Worker
  • Brownwood, TX
National Provider Identifier
1215515523
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68683 Issued in TX
Practice address
408 Mulberry St
Brownwood, TX 76801-1639
Phone
(325) 646-9574
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 68683 TX
Clinical Social Worker 1041C0700X 68683 TX Primary

Addresses

Primary practice location

408 Mulberry St
Brownwood, TX 76801-1639

Mailing address

408 Mulberry St
Brownwood, TX 76801-1639
Phone (325) 642-2885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220806000192 TX Practitioner - Clinical Social Worker 5294117305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

408 Mulberry St
Brownwood, TX 76801-1639
Phone (325) 646-9574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68683TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Mental Health and Mental Retardation Center Clinical CurrentSince Jul 28, 2022 Accepting new patients

Locations

408 Mulberry St
Brownwood, TX 76801
Phone (325) 646-9574

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1215515523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MULBERRY ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768011639",
            "telephone_number": "325-642-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MULBERRY ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768011639",
            "telephone_number": "325-646-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MELISSA",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "68683",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "68683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.