Melissa Magee-Kakouras, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006451 Issued in NC

Practice address

216A W. North Main Street
Waxhaw, NC 28173-6012

Phone

(704) 560-4918

Fax

(704) 243-1799

NPI assigned

Jul 21, 2009

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

Other identifiers 2

Other names 1

• Melissa Magee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1316177629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 CARSON DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739325",
            "telephone_number": "704-560-4918",
            "fax_number": "704-243-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216A W. NORTH MAIN STREET",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736012",
            "telephone_number": "704-560-4918",
            "fax_number": "704-243-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE-KAKOURAS",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007330",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW STATE LICENSE",
            "identifier": "C006451",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MAGEE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Lowery, MOT/L
• Rachael Luscombe
• Jennifer Lyash
• Hannah Marie Caroline Mabellos, SLP
• Megan Lynch Madlom, PT
• Naina A Mahale, DDS
• Sheila Makler, MS OTR/L
• Robert Malecki, M.D.
• Michael Anthony Maloney
• Sepideh Manafi

• Clinical Social Worker in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.