Melody Dawn Livngston, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

299 Issued in AK

Practice address

3449 E Rezanof Dr
Kodiak, AK 99615-6952

Phone

(907) 942-5205

NPI assigned

Jan 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1275863888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SHARATIN RD # A",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156938",
            "telephone_number": "907-942-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-942-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVNGSTON",
        "first_name": "MELODY",
        "middle_name": "DAWN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER SOCIAL WORKER",
            "identifier": "299",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayron Renea Leonard, HEALTH SERV TECH
• Robert Michael Lesko, IDHS
• Nicholas Lewis
• Erin Lightle, LCSW
• Hope Lee Livingston Rustemeyer
• Amelia Lopez
• Zachary Xaiver Love
• Stephanie Mathis Lowdermilk, RN, BS, BLSI
• Jade Lutes, CDCT
• Marsha R Madriaga

• Clinical Social Worker in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.