NPIMap

Individual provider Active NPI

Mela Louise Calomino, MSW,LSW

  • Clinical Social Worker
  • Meadville, PA
National Provider Identifier
1306433016
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
18201 Conneaut Lake Rd
Meadville, PA 16335-3757
Phone
(814) 333-5061
Fax
(814) 333-5067
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

18201 Conneaut Lake Rd
Meadville, PA 16335-3757

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5061

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@parksidetherapy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221000679 PA Practitioner - Clinical Social Worker 3971947607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical Center 139 clinicians

Practice addresses (Care Compare)

18201 Conneaut Lake Rd
Meadville, PA 16335-3757
Phone (814) 333-5060

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center Clinical CurrentSince Jan 9, 2024 Accepting new patients
Meadville Medical Center CurrentSince Jan 9, 2024 Accepting new patients
Parkside Psychological Associates Clinical CurrentSince Jan 1, 2021 Accepting new patients

Locations

18201 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 333-5060

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1306433016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353757",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALOMINO",
        "first_name": "MELA",
        "middle_name": "LOUISE",
        "credential": "MSW,LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@parksidetherapy.com",
            "affiliation": "N",
            "address_1": "435 Chestnut St",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163354404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.