Individual provider Active NPI

Melody Midoneck, DSW LCSW LLC

  • Clinical Social Worker
  • Boynton Beach, FL
National Provider Identifier
1326130386
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW15446 Issued in FL
Practice address
9833 Halston MNR
Boynton Beach, FL 33473-4977
Phone
(732) 490-8136
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04836900 NJ
Clinical Social Worker 1041C0700X SW15446 FL Primary

Addresses

Primary practice location

9833 Halston MNR
Boynton Beach, FL 33473-4977

Mailing address

9833 Halston MNR
Boynton Beach, FL 33473-4977
Phone (732) 490-8136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190501003098 FL Practitioner - Clinical Social Worker 7618219148 Reassigns benefits to 1 organization
I20231116000729 NJ Practitioner - Clinical Social Worker 7618219148

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9833 Halston Manor
Boynton Beach, FL 33473-4977

9833 Halston MNR
Boynton Beach, FL 33473-4977
Phone (732) 490-8136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04836900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
About Kids, LLP Clinical Past Accepting new patients

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1326130386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 HALSTON MNR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734977",
            "telephone_number": "732-490-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 HALSTON MNR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734977",
            "telephone_number": "732-490-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDONECK",
        "first_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "DSW  LCSW LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04836900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.