Melissa Sue Dahlgren, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801106844 Issued in MI

Practice address

6073 N Royston Rd
Potterville, MI 48876-9710

Phone

(517) 582-1839

NPI assigned

Jan 24, 2021

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sparrow Eaton Hospital

  dba University of Michigan Health-Sparrow Charlotte Orthopedics

  • Orthopaedic Surgery Physician
  • Charlotte, MI
  • NPI 1043419427

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1427648476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6073 N ROYSTON RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769710",
            "telephone_number": "517-582-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6073 N ROYSTON RD",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488769710",
            "telephone_number": "517-582-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLGREN",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Pharmacy - Potterville LLC (Potterville Pharmacy)
• Central Pharmacy - Potterville LLC (Potterville Pharmacy)
• Rebekah Irene Cottrell
• Pollyanna Cove, R.PH.
• Debora Jo Crowley, B.S.
• Gary Anthony Darmofal
• Alexis Dillon
• Shawn Desiree Floyd I, LPN
• Monica Fuentes
• Nicole Marie Guza, LLPC

• Social Worker in Potterville, MI
• Providers in Potterville, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.