Individual provider Active NPI

Melody Rae Hamilton, LISW

  • Clinical Social Worker
  • Carrollton, OH
National Provider Identifier
1316445828
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2102772 Issued in OH
Practice address
104 W Main St
Carrollton, OH 44615-1338
Phone
(330) 476-9337
NPI assigned
Jan 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1500220 OH
Clinical Social Worker 1041C0700X 2102772 OH Primary

Addresses

Primary practice location

104 W Main St
Carrollton, OH 44615-1338

Mailing address

1451 Antigua Rd SW
Carrollton, OH 44615-9230
Phone (330) 476-9337

Other practice location 1

1451 Antigua Rd SW Rm 201
Carrollton, OH 44615-9230
Phone (330) 649-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230410002362 OH Practitioner - Clinical Social Worker 9436524279 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1500220OHMDSocial Worker
2102772OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
From the Ashes Counseling Clinical Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 6, 2026 Accepting new patients
The Bair Foundation Past Accepting new patients

Organizations & group practices 3

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1316445828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 ANTIGUA RD SW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159230",
            "telephone_number": "330-476-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151338",
            "telephone_number": "330-476-9337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Antigua Rd SW Rm 201",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "OH",
            "postal_code": "446159230",
            "country_code": "US",
            "telephone_number": "330-649-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MELODY",
        "middle_name": "RAE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1500220",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "2102772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, OH

Sources for this page

Verify at the official NPI Registry.