Melanie Brown, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Centerville, UT
NPI 1447697362 · NPPES record last updated May 31, 2013
Key facts
- NPI
- 1447697362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7407704-3501 (UT)
- Practice address
- 386 N Main St
Centerville, UT 84014-1819 - Phone
- (801) 298-2000
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221213003350 | UT | Practitioner - Clinical Social Worker | 9537538590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7407704-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Ocd and Anxiety Treatment Center | Clinical | Past | Accepting new patients |
| The Counseling Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7407704-3501 | UT | Yes |
Addresses
Primary practice location
386 N Main St
Centerville, UT 84014-1819
Mailing address
760 E 4070 S
Murray, UT 84107-2110
Phone (801) 548-3017
Other providers in Centerville, UT
- Brandon Segura
- Brave Transformations Therapy
- Brian D Rigby DMD PC
- Marian Anne Bridenstine
- Kevin Dee Broderick
- Victoria Schild Brown
- Hope Nicole Burgess
- Tracy Burnham
- Jaquelinne Canas-Rodriguez
- Centered Behavioral Health & Wellness PLLC
All providers in Centerville, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.