Melissa Carla Provost, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

76 Summer St
Haverhill, MA 01830-5814

Phone

(978) 556-6250

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Carla Delaney Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1316595812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KLONDIKE AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018328600",
            "telephone_number": "978-979-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SUMMER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018305814",
            "telephone_number": "978-556-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "MELISSA",
        "middle_name": "CARLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melissa.provost@haverhillpavilion.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "76 Summer St",
            "city": "Haverhill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018305814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DELANEY",
            "middle_name": "CARLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Powers
• Dorine Pratt, IHT CLINICIAN
• Julia M Pratt
• Preferred Pharmacy Solutions, LLC (Preferred Pharmacy Solutions Inc)
• Lisa Prendergast
• Psycholinguistic Associates, Inc.
• Taylor Christine Puddister
• Elvis M. Queliz, BACHELOR IN COMP.SCI
• Cristal Quezada
• Austin Quintal

• Clinical Social Worker in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.