Individual provider Active NPI

Melanie Gardner, SW

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1437872264
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11266-M Issued in NV
Practice address
10020 Hawthorne Grove St
Las Vegas, NV 89183-6358
Phone
(248) 470-5990
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Social Worker 104100000X 11266-M NV Primary

Addresses

Primary practice location

10020 Hawthorne Grove St
Las Vegas, NV 89183-6358

Mailing address

10020 Hawthorne Grove St
Las Vegas, NV 89183-6358
Phone (248) 470-5990

Other practice location 1

2320 Paseo Del Prado Ste B208
Las Vegas, NV 89102-4332
Phone (702) 685-0877

Other identifiers 2

IdentifierTypeStateIssuer
G635599461254OtherMIDRIVERS LICENSE
G35599461254OtherMIDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melanie.gardner@mindoula.com Direct

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

State licenses

LicenseStateTypeSpecialty
11266-MNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Medical Clinicians PA Social Worker PastSince Jan 1, 2025 Accepting new patients
Insight Therapy Solutions LLC Social Worker PastSince Sep 1, 2022 Accepting new patients

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1437872264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 HAWTHORNE GROVE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836358",
            "telephone_number": "248-470-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 HAWTHORNE GROVE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836358",
            "telephone_number": "248-470-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 Paseo Del Prado Ste B208",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024332",
            "country_code": "US",
            "telephone_number": "702-685-0877",
            "fax_number": "702-749-5922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MELANIE",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "11266-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "G635599461254",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "G35599461254",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melanie.gardner@mindoula.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10200 Hawthorne Grove St",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.