Individual provider Active NPI

Melissa Kathleen Hall

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1316428170
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6086 Issued in KS
Practice address
345 N Riverview St Ste 730
Wichita, KS 67203-4267
Phone
(316) 202-2110
Fax
(316) 226-8648
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 950 KS
Clinical Social Worker 1041C0700X 6086 KS Primary

Addresses

Primary practice location

345 N Riverview St Ste 730
Wichita, KS 67203-4267

Mailing address

345 N Riverview St Ste 730
Wichita, KS 67203-4267
Phone (316) 202-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530001982 KS Practitioner - Clinical Social Worker 9537501986 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
Level LLCGroup PAC ID 0244634293, 26 clinicians

Practice addresses (Care Compare)

345 N Riverview St
Suite 730
Wichita, KS 67203-4267
Phone (316) 202-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6086KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Level LLC Clinical CurrentSince May 1, 2024 Accepting new patients

Locations

2955 SW Wanamaker Dr
Ste B
Topeka, KS 66614
Phone (785) 221-2755

345 N Riverview St
Ste 730
Wichita, KS 67203
Phone (316) 202-2110

9415 E Harry St
Ste 306
Wichita, KS 67207
Phone (316) 202-2110

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1316428170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 730",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034267",
            "telephone_number": "316-202-2110",
            "fax_number": "316-226-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 730",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034267",
            "telephone_number": "316-202-2110",
            "fax_number": "316-226-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MELISSA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "950",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "6086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.