Colette Melancon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3700 Issued in LA

Practice address

60 Louis Prima Dr Ste a
Covington, LA 70433-5903

Phone

(985) 327-5427

Fax

(985) 327-8800

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapeutic Partners,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, LA
  • NPI 1528330537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255585519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LOUIS PRIMA DR",
            "address_2": "STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LOUIS PRIMA DR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-327-5427",
            "fax_number": "985-327-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Greenbriar Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704337234",
            "country_code": "US",
            "telephone_number": "504-430-6116",
            "fax_number": "866-300-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "COLETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Managers
• Medical Practice Management, LLC
• Ayme Mogle Meehan
• Elizabeth Meier
• Assumpta Chughe Meikalike
• Jessica Canales Melancon, MPT
• Nicole Renee Melancon, NP
• Rachael Melancon
• Bekir H Melek, MD
• Grant Matthew Menard, PHARMD

• Clinical Social Worker in Covington, LA
• Providers in Covington, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.