Melissa Pascoe, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29313 Issued in MN

Practice address

4525 White Bear Pkwy Ste 119
White Bear Lake, MN 55110-7666

Phone

(612) 467-9212

NPI assigned

Jul 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Metanoia Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vadnais Heights, MN
  • NPI 1063050615
  NPD

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625270400000",
    "number": "1417528126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 DAYTON AVE APT 1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046189",
            "telephone_number": "612-404-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 WHITE BEAR PKWY STE 119",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107666",
            "telephone_number": "612-467-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCOE",
        "first_name": "MELISSA",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://metanoiatherapy.com/",
            "affiliation": "N",
            "address_1": "4525 White Bear Pkwy Ste 119",
            "city": "White Bear Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551107666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://metanoiatherapy.com/",
            "affiliation": "N",
            "address_1": "4525 White Bear Pkwy Ste 119",
            "city": "White Bear Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551107666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Palliative Providers, PA
• Victoria Rose Palme, PA-C
• Mary M Paquette, MD
• Matthew J Paquette, MD
• Emea Pauline Hipolito Parungao
• Ty Evan Paulick, D.C.
• Peace of Mind Home Care, LLC
• Peddycoart Chiropractic Inc.
• Brenwyn Anne Lisa Peddycoart, DC
• Teresa A Pena, MD

• Clinical Social Worker in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.