Active NPI
Melissa Ketner, LSW
- Clinical Social Worker
- Naperville, IL
National Provider Identifier
1316140379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34005637A
- Practice address
- 50 S Main St Ste 200
Naperville, IL 60540-5485 - Phone
- (800) 525-9202
- NPI assigned
- Jun 7, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34005637A | IN | Primary |
| Clinical Social Worker | 1041C0700X | LCSW00001762 | KY | |
| Clinical Social Worker | 1041C0700X | 34506 | MN | |
| Social Worker | 104100000X | 33005233A | IN |
Addresses
Primary practice location
50 S Main St Ste 200
Naperville, IL 60540-5485
Mailing address
50 S Main St Ste 200
Naperville, IL 60540-5485
Other practice location 1
1720 Nicholasville Rd Ste 702
Lexington, KY 40503-1489
Phone (800) 525-9202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
303 Congressional Blvd
Suite 200
Carmel, IN 46032-5631
Phone (240) 201-3386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33005233A | IN | MD | Social Worker |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1316140379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S MAIN ST STE 200",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MAIN ST STE 200",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405485",
"telephone_number": "800-525-9202"
}
],
"practiceLocations": [
{
"address_1": "1720 Nicholasville Rd Ste 702",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405031489",
"country_code": "US",
"telephone_number": "800-525-9202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KETNER",
"first_name": "MELISSA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34005637A",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "LCSW00001762",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "34506",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33005233A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
- Luciana Estela Kerkemeyer
- Christopher Brock Kessler, D.C.
- Rose Kessler, LCSW
- Kester Drugs Incorporated (Oswald's Pharmacy)
- Ketamine Wellness Centers Chicago
- Dipti N Kevat, DC
- Keven D Wells DDS PC (Living Well Dental Group)
- Kevin Eschmeyer, D.M.D., P.C.
- Kevin Knipp Couples and Family Therapy LTD.
- Mark Alan Kexel Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.