Individual provider Active NPI

Melissa Alton, LCSW

  • Clinical Social Worker
  • Coeur d'Alene, ID
National Provider Identifier
1245764638
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41807 Issued in ID
Practice address
1044 Northwest Blvd
Coeur D Alene, ID 83814-2114
Phone
(208) 930-1740
NPI assigned
Apr 12, 2017
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 100571 CA
Clinical Social Worker 1041C0700X 41807 ID Primary

Addresses

Primary practice location

1044 Northwest Blvd
Coeur D Alene, ID 83814-2114

Mailing address

PO Box 1006
Blue Lake, CA 95525-1006
Phone (208) 818-9058

Other practice location 1

822 G St
Arcata, CA 95521-6223
Phone (208) 818-9058

Other practice location 2

2906 F St
Unit 6860
Eureka, CA 95502-4101
Phone (707) 845-8737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210421000236 CA Practitioner - Clinical Social Worker 2961810585 Reassigns benefits to 1 organization
I20230213001263 ID Practitioner - Clinical Social Worker 2961810585 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
Ambitions of Idaho IncGroup PAC ID 6305121328, 7 clinicians
Healing Strides Psychotherapy, Inc.Group PAC ID 3173831674, 2 clinicians

Practice addresses (Care Compare)

1044 Northwest Blvd
Suite C
Coeur D Alene, ID 83814-2114
Phone (208) 930-1740

12755 W End Rd
Arcata, CA 95521-8956
Phone (707) 845-8737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100571CAMDClinical Social Worker
41807IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ambitions of Idaho, Inc Clinical Current Accepting new patients
Healing Strides Psychotherapy, Inc. CurrentSince Apr 15, 2021 Accepting new patients
Ambitions of Idaho, Inc. CurrentSince Nov 2, 2022 Accepting new patients
Psychiatric Associates Services PLLC PastSince Jan 29, 2023 Accepting new patients

Locations

2906 F St
Unit 6860
Eureka, CA 95502
Phone (707) 845-8737

1044 Northwest Blvd
Ste C
Coeur D Alene, ID 83814
Phone (208) 667-7777

Organizations & group practices 4

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1245764638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "BLUE LAKE",
            "state": "CA",
            "postal_code": "955251006",
            "telephone_number": "208-818-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHWEST BLVD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142114",
            "telephone_number": "208-930-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 G St",
            "address_purpose": "LOCATION",
            "city": "Arcata",
            "state": "CA",
            "postal_code": "955216223",
            "country_code": "US",
            "telephone_number": "208-818-9058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2906 F St",
            "address_2": "UNIT 6860",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955024101",
            "country_code": "US",
            "telephone_number": "707-845-8737",
            "fax_number": "707-845-8737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTON",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100571",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "41807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.