Active NPI
Melissa Greenidge, MSW
- Clinical Social Worker
- Marysville, CA
National Provider Identifier
1336249176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 23776
- Practice address
- 111 D Street
Marysville, CA 95901 - Phone
- (530) 671-3427
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73071253 | NY | |
| Clinical Social Worker | 1041C0700X | LCS 23776 | CA | Primary |
Addresses
Primary practice location
111 D Street
Marysville, CA 95901
Mailing address
111 D Street
Marysville, CA 95901
Phone (530) 671-3427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 23776 | CA | MD | Clinical Social Worker |
| 73071253 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steinway Child and Family Services, Inc. | Clinical | Past | Accepting new patients |
| Steinway Child and Family Services, Inc | 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.
-
- Clinical Social Worker
- Howard Beach, NY
- NPI 1346286382
-
- Clinical Social Worker
- Long Island City, NY
- NPI 1801844584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336249176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 D STREET",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "95901",
"telephone_number": "530-671-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 D STREET",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "95901",
"telephone_number": "530-671-3427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENIDGE",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73071253",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 23776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.