Individual provider Active NPI

Melissa Nicole Weipert

  • Clinical Social Worker
  • Monclova, OH
National Provider Identifier
1245646363
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108757 Issued in MI
Practice address
9720 Monclova Rd
Monclova, OH 43542-9432
Phone
(734) 652-6007
NPI assigned
Jul 9, 2014
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 6801108757 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9720 Monclova Rd
Monclova, OH 43542-9432

Mailing address

9720 Monclova Rd
Monclova, OH 43542-9432
Phone (734) 652-6007

Other practice location 1

1950 S Sunwest Ln
San Bernardino, CA 92415-3258
Phone (909) 252-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220414002350 MI Practitioner - Clinical Social Worker 1456747682 Reassigns benefits to 1 organization
I20220613002932 OH Practitioner - Clinical Social Worker 1456747682 Reassigns benefits to 1 organization
I20220803001726 ID Practitioner - Clinical Social Worker 1456747682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

3597 E Monarch Sky LN
Suite 240
Meridian, ID 83646-1055
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801108757MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 16, 2025 Accepting new patients
Carla Miller Ma MSW Clinical PastSince Apr 11, 2022 Accepting new patients

Locations

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

Interoperability endpoints

  • Direct secure messaging: melissa.weipert@532070890209284.direct.elationemr.com

Organizations & group practices 3

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1245646363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 MONCLOVA RD",
            "city": "MONCLOVA",
            "state": "OH",
            "postal_code": "435429432",
            "telephone_number": "734-652-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 MONCLOVA RD",
            "city": "MONCLOVA",
            "state": "OH",
            "postal_code": "435429432",
            "telephone_number": "734-652-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 S Sunwest Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924153258",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIPERT",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108757",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monclova, OH

Sources for this page

Verify at the official NPI Registry.