Individual provider Active NPI

Melissa Ann Doane-Williams, L.C.S.W.

  • Clinical Social Worker
  • Saltville, VA
National Provider Identifier
1407169840
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007380 Issued in VA
Practice address
319 5TH Ave
Saltville, VA 24370-3418
Phone
(276) 496-4492
Fax
(276) 496-4013
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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 0904007380 VA Primary
Professional Counselor 101YP2500X 0904007380 VA

Addresses

Primary practice location

319 5TH Ave
Saltville, VA 24370-3418

Mailing address

PO Box 729
Saltville, VA 24370-0729
Phone (276) 496-4492

Other practice location 1

13168 Meadowview Square
Meadowview, VA 24361-3328
Phone (276) 944-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120626000476 VA Practitioner - Clinical Social Worker 7618132671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Virginia Community Health Systems IncorporatedGroup PAC ID 4880502707, 29 clinicians

Practice addresses (Care Compare)

319 5TH Ave
Saltville, VA 24370-3418
Phone (276) 496-4492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007380VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Virginia Community Health Systems Incorporated Current Accepting new patients
Southwest Virginia Community Health Systems Inc. CurrentSince Apr 21, 2012 Accepting new patients
Southwest Virginia Community Health Systems Inc. CurrentSince Apr 21, 2012 Accepting new patients

Locations

319 5th Ave
Saltville, VA 24370

308 W Main St
Saltville, VA 24370
Phone (276) 496-4433

319 5th Ave
Fl 1
Saltville, VA 24370

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1407169840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243700729",
            "telephone_number": "276-496-4492",
            "fax_number": "276-496-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 5TH AVE",
            "city": "SALTVILLE",
            "state": "VA",
            "postal_code": "243703418",
            "telephone_number": "276-496-4492",
            "fax_number": "276-496-4013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13168 Meadowview Square",
            "address_purpose": "LOCATION",
            "city": "Meadowview",
            "state": "VA",
            "postal_code": "243613328",
            "country_code": "US",
            "telephone_number": "276-944-3999",
            "fax_number": "276-944-3882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOANE-WILLIAMS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007380",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0904007380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saltville, VA

Sources for this page

Verify at the official NPI Registry.