Active NPI
Stephanie Elaine Mellott, LSW
- Social Worker
- Akron, OH
National Provider Identifier
1336626761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1803200
- Practice address
- 604 Stetler Ave
Akron, OH 44312-2613 - Phone
- (330) 475-3900
- NPI assigned
- Jul 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1803200 | OH | Primary |
Addresses
Primary practice location
604 Stetler Ave
Akron, OH 44312-2613
Mailing address
604 Stetler Ave
Akron, OH 44312-2613
Phone (330) 475-3900
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 |
|---|---|---|---|
| S.1803200 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1336626761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 STETLER AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443122613",
"telephone_number": "330-475-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 STETLER AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443122613",
"telephone_number": "330-475-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLOTT",
"first_name": "STEPHANIE",
"middle_name": "ELAINE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1803200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.