Active NPI
Xiomara Elizabeth Melo, MSW, LCSW
- Clinical Social Worker
- Memphis, TN
National Provider Identifier
1396839064
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000005196
- Practice address
- 505 Tennessee St
Apt 321
Memphis, TN 38103-4469 - Phone
- (901) 833-3830
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 12, 2015
- 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 | LSW0000005196 | TN | Primary |
Addresses
Primary practice location
505 Tennessee St
Apt 321
Memphis, TN 38103-4469
Mailing address
505 Tennessee St
Apt 321
Memphis, TN 38103-4469
Phone (901) 833-3830
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000005196 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1396839064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 TENNESSEE ST",
"address_2": "APT 321",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381034469",
"telephone_number": "901-833-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 TENNESSEE ST",
"address_2": "APT 321",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381034469",
"telephone_number": "901-833-3830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELO",
"first_name": "XIOMARA",
"middle_name": "ELIZABETH",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000005196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.