Active NPI
Melinda Moellering
- Social Worker
- Columbia, MO
National Provider Identifier
1295061646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2008014006
- Practice address
- 4304 S Bearfield Rd.
Columbia, MO 65201 - Phone
- (573) 874-8686
- Fax
- (573) 874-8608
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2008014006 | MO | Primary |
Addresses
Primary practice location
4304 S Bearfield Rd.
Columbia, MO 65201
Mailing address
4304 S Bearfield Rd.
Columbia, MO 65201
Phone (573) 874-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008014006 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255996800000",
"number": "1295061646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4304 S BEARFIELD RD.",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-874-8686",
"fax_number": "573-874-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 S BEARFIELD RD.",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-874-8686",
"fax_number": "573-874-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOELLERING",
"first_name": "MELINDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2009-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2008014006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.