Active NPI
Melissa Harrison, APSW
- Clinical Social Worker
- Green Bay, WI
National Provider Identifier
1366181927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2733 S Ridge Rd
Green Bay, WI 54304-5545 - Phone
- (920) 497-6200
- Fax
- (920) 497-3135
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2733 S Ridge Rd
Green Bay, WI 54304-5545
Mailing address
2240 Carstensen LN Apt a
Green Bay, WI 54304-4262
Phone (715) 902-9965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000000 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mharrison@newwellnessassoc.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1366181927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 CARSTENSEN LN APT A",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543044262",
"telephone_number": "715-902-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2733 S RIDGE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045545",
"telephone_number": "920-497-6200",
"fax_number": "920-497-3135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "MELISSA",
"credential": "APSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000000",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mharrison@newwellnessassoc.com",
"affiliation": "N",
"address_1": "2733 S Ridge Rd",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543045545",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.