Individual provider Active NPI

Melissa K Schiffli, MSW, LCSW, LMSW-CLIN

  • Clinical Social Worker
  • Elkhart, IN
National Provider Identifier
1366691198
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006439A Issued in IN
Practice address
236 Simpson Ave
Elkhart, IN 46516-4666
Phone
(574) 293-0052
Fax
(574) 343-1390
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 6801098666 MI
Clinical Social Worker 1041C0700X 34006439A IN Primary

Addresses

Primary practice location

236 Simpson Ave
Elkhart, IN 46516-4666

Mailing address

420 W High St
Borgess Lee Memorial
Dowagiac, MI 49047-1943
Phone (269) 783-3077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000757 IN Practitioner - Clinical Social Worker 9234387374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart City Health Center IncGroup PAC ID 9931008380, 15 clinicians

Practice addresses (Care Compare)

236 Simpson Ave
Elkhart, IN 46516-4666
Phone (574) 584-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006439AINMDClinical Social Worker
6801098666MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart City Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Heart City Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients

Locations

148 W Hively Ave
Ste 1
Elkhart, IN 46517
Phone (574) 350-2500

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

1545 Cassopolis St
Elkhart, IN 46514
Phone (574) 584-2501

Interoperability endpoints

  • Direct secure messaging: melissa.schiffli.1@11397.direct.athenahealth.com

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1366691198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W HIGH ST",
            "address_2": "BORGESS LEE MEMORIAL",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471943",
            "telephone_number": "269-783-3077",
            "fax_number": "269-783-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SIMPSON AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164666",
            "telephone_number": "574-293-0052",
            "fax_number": "574-343-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFLI",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "MSW, LCSW, LMSW-CLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098666",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.